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Sponsored by: |
National Cancer Institute (NCI) |
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Information provided by: | National Cancer Institute (NCI) |
ClinicalTrials.gov Identifier: | NCT00062166 |
RATIONALE: Diagnostic procedures such as CT scans and MRI may improve the identification of pancreatic lesions in patients who have von Hippel-Lindau syndrome. Genetic studies may help in understanding the genetic processes involved in the development of some types of cancer.
PURPOSE: This clinical trial is studying how well diagnostic and genetic tests work in finding pancreatic lesions in patients with Von Hippel-Lindau syndrome.
Condition | Intervention |
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Neuroendocrine Carcinoma Pancreatic Cancer Von Hippel-Lindau Syndrome |
Genetic: comparative genomic hybridization Genetic: mutation analysis Genetic: proteomic profiling Procedure: computed tomography Procedure: magnetic resonance imaging Procedure: ultrasound imaging |
Study Type: | Observational |
Official Title: | Evaluation of the Natural History and Management of Pancreatic Lesions Associated With Von Hippel-Lindau |
Estimated Enrollment: | 300 |
Study Start Date: | April 2003 |
OBJECTIVES:
OUTLINE: Patients undergo non-invasive imaging studies (e.g., CT scan with contrast, MRI, and/or abdominal ultrasound). Blood and urine samples are collected for laboratory analysis. Blood samples are also drawn for genetic germ line mutational analysis.
All patients are offered genetic counseling.
Patients with cystic disease of the pancreas only (no solid lesions) are followed with non-invasive imaging studies at least every 2 years.
Patients with solid lesions of the pancreas that are suspicious for pancreatic neuroendocrine tumors (PNETs) and have not reached size criteria for surgery are followed annually with CT scans and MRI.
Patients with solid lesions of the pancreas that are suspicious for PNETs and have reached size criteria for surgery or are symptomatic for PNETs may undergo surgical management. Patients with cystic disease who develop symptoms attributable to the cysts may also undergo surgical management.
In patients who undergo surgical resection, tissue is removed for further genetic analysis, including comparative genomic hybridization, cDNA microarray analysis, and tissue proteomics.
PROJECTED ACCRUAL: A total of 300 patients will be accrued for this study within 5 years.
Ages Eligible for Study: | 12 Years and older |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
DISEASE CHARACTERISTICS:
Must have at least 1 of the following pancreatic manifestations of VHL documented by a non-invasive imaging study:
PATIENT CHARACTERISTICS:
Age
Performance status
Life expectancy
Hematopoietic
Hepatic
Renal
Other
PRIOR CONCURRENT THERAPY:
Biologic therapy
Chemotherapy
Endocrine therapy
Radiotherapy
Surgery
United States, Maryland | |
Warren Grant Magnuson Clinical Center - NCI Clinical Trials Referral Office | |
Bethesda, Maryland, United States, 20892-1182 |
Principal Investigator: | Steven A. Rosenberg, MD, PhD | NCI - Surgery Branch |
Study ID Numbers: | CDR0000304539, NCI-03-C-0145 |
Study First Received: | June 5, 2003 |
Last Updated: | April 1, 2009 |
ClinicalTrials.gov Identifier: | NCT00062166 History of Changes |
Health Authority: | United States: Federal Government |
neuroendocrine carcinoma pancreatic cancer von Hippel-Lindau syndrome |
Angiomatosis Digestive System Neoplasms Von Hippel-Lindau Syndrome Carcinoma, Neuroendocrine Pancreatic Neoplasms Vascular Diseases Endocrine System Diseases Neuroendocrine Tumors Carcinoma Neuroectodermal Tumors Digestive System Diseases |
Von Hippel-Lindau Disease Neoplasms, Germ Cell and Embryonal Neuroepithelioma Gastrointestinal Neoplasms Pancreatic Diseases Endocrinopathy Adenocarcinoma Neoplasms, Glandular and Epithelial Neurocutaneous Syndromes Endocrine Gland Neoplasms |
Angiomatosis Carcinoma, Neuroendocrine Pancreatic Neoplasms Neoplasms, Nerve Tissue Neoplasms by Site Pathologic Processes Von Hippel-Lindau Disease Syndrome Neoplasms, Germ Cell and Embryonal Cardiovascular Diseases Neurocutaneous Syndromes Endocrine Gland Neoplasms Neoplasms by Histologic Type |
Digestive System Neoplasms Disease Nervous System Diseases Vascular Diseases Endocrine System Diseases Carcinoma Neuroendocrine Tumors Neuroectodermal Tumors Neoplasms Digestive System Diseases Pancreatic Diseases Adenocarcinoma Neoplasms, Glandular and Epithelial |