Skip to main content
Top
Published in: Annals of Surgical Oncology 5/2008

01-05-2008 | Hepatic and Pancreatic Tumors

Development of an Integrated Biospecimen Bank and Multidisciplinary Clinical Database For Pancreatic Cancer

Authors: Rosa F. Hwang, MD, Huamin Wang, MD, PhD, Axbal Lara, MBA, Henry Gomez, MD, Tracy Chang, BS, Nicole Sieffert, BA, Younghee Moon, BS, Sabina Ram, MS, Stuart Zimmerman, PhD, Jeffrey H. Lee, MD, Peter W. T. Pisters, MD, Eric P. Tamm, MD, Jason B. Fleming, MD, James L. Abbruzzese, MD, Douglas B. Evans, MD

Published in: Annals of Surgical Oncology | Issue 5/2008

Login to get access

Abstract

Background

The integration of biospecimens with reliable clinical data is critical to advance molecular findings from the laboratory to the clinic. We describe the development of an integrated pancreatic tissue bank (PTB) and clinical database for patients with pancreatic cancer and other pancreatic disorders.

Methods

A clinical database and PTB were created in 1990 and 2000, respectively, to collect clinical information and biospecimens from patients with suspected or confirmed pancreatic cancer, other pancreatic diseases, and tumors of the duodenum, ampulla of Vater, and distal bile duct. Standard procedures for biospecimen collection and data entry were developed.

Results

From 2000 through 2006, the PTB collected 8,061 pancreatic tissue specimens from 620 patients. The most common histologies of pancreatic tumors were pancreatic ductal adenocarcinoma (55.3%) and neuroendocrine carcinoma (16.3%). The biospecimen collection also includes 431 plasma samples, 40 fine-needle aspiration samples, and a tissue microarray containing 85 pancreatic adenocarcinomas and matched normal tissue specimens. The clinical database contains information for 7,647 patients with pancreatic cancer, other pancreatic disorders, and duodenal, ampullary, or bile duct neoplasms. The data are arranged into nine modules: patient, presentation, risk factors, diagnostic imaging, treatment plan, surgery, pathology, postoperative complications, and follow-up.

Conclusions

We have established a pancreatic cancer tissue bank with standardized procedures for collection of biospecimens along with a comprehensive multidisciplinary clinical database. The integrated biospecimen bank and clinical database for pancreatic cancer described here can serve as a model from which other groups may develop similar systems.
Literature
1.
go back to reference Skloot R. Taking the least of you: most of us have tissue or blood samples on file somewhere, whether we know it or not. What we don’t typically know is what research they are being used for or how much money is being made from them. And science may want to keep things that way. New York Times Magazine 2006:38–45 Skloot R. Taking the least of you: most of us have tissue or blood samples on file somewhere, whether we know it or not. What we don’t typically know is what research they are being used for or how much money is being made from them. And science may want to keep things that way. New York Times Magazine 2006:38–45
2.
go back to reference Marcus AD. Patients with rare diseases work to jump-start research; advocacy groups create their own tissue banks to aid in drug treatment. Wall St J 2006:D1 Marcus AD. Patients with rare diseases work to jump-start research; advocacy groups create their own tissue banks to aid in drug treatment. Wall St J 2006:D1
3.
go back to reference Florell SR, Coffin CM, Holden JA, et al. Preservation of RNA for functional genomic studies: a multidisciplinary tumor bank protocol. Mod Pathol 2001;14:116–28PubMedCrossRef Florell SR, Coffin CM, Holden JA, et al. Preservation of RNA for functional genomic studies: a multidisciplinary tumor bank protocol. Mod Pathol 2001;14:116–28PubMedCrossRef
4.
go back to reference Evans DB, Abbruzzese J, Willett C. Cancer of the pancreas. In: Cancer: Principles and Practice of Oncology, 6th ed. Philadelphia: Lippincott, 2001: p. 1126–61 Evans DB, Abbruzzese J, Willett C. Cancer of the pancreas. In: Cancer: Principles and Practice of Oncology, 6th ed. Philadelphia: Lippincott, 2001: p. 1126–61
5.
go back to reference Varadhachary GR, Tamm EP, Abbruzzese JL, et al. Borderline resectable pancreatic cancer: definitions, management, and role of preoperative therapy.[see comment]. Ann Surg Oncol 2006;13:1035–46PubMedCrossRef Varadhachary GR, Tamm EP, Abbruzzese JL, et al. Borderline resectable pancreatic cancer: definitions, management, and role of preoperative therapy.[see comment]. Ann Surg Oncol 2006;13:1035–46PubMedCrossRef
6.
go back to reference Pisters PW, Hudec WA, Hess KR, et al. Effect of preoperative biliary decompression on pancreaticoduodenectomy-associated morbidity in 300 consecutive patients. Ann Surg 2001;234:47–55PubMedCrossRef Pisters PW, Hudec WA, Hess KR, et al. Effect of preoperative biliary decompression on pancreaticoduodenectomy-associated morbidity in 300 consecutive patients. Ann Surg 2001;234:47–55PubMedCrossRef
7.
go back to reference Goebell PJ, Groshen S, Schmitz-Drager BJ, et al. Concepts for banking tissue in urologic oncology-the International Bladder Cancer Bank. Clin Cancer Res 2005;11:413–5PubMed Goebell PJ, Groshen S, Schmitz-Drager BJ, et al. Concepts for banking tissue in urologic oncology-the International Bladder Cancer Bank. Clin Cancer Res 2005;11:413–5PubMed
8.
go back to reference Glass AG, Donis-Keller H, Mies C, et al. The Cooperative Breast Cancer Tissue Resource: archival tissue for the investigation of tumor markers. Clin Cancer Res 2001;7:1843–9PubMed Glass AG, Donis-Keller H, Mies C, et al. The Cooperative Breast Cancer Tissue Resource: archival tissue for the investigation of tumor markers. Clin Cancer Res 2001;7:1843–9PubMed
9.
go back to reference Pitchers M, Stokes A, Lonsdale R, et al. Research tissue banking in otolaryngology: organization, methods and uses, with reference to practical, ethical and legal issues. J Laryngolotol Otol 2006;120:433–8 Pitchers M, Stokes A, Lonsdale R, et al. Research tissue banking in otolaryngology: organization, methods and uses, with reference to practical, ethical and legal issues. J Laryngolotol Otol 2006;120:433–8
10.
go back to reference Hammond ME, Ang K, Byhardt R, et al. Tumor utilization committee. Int J Radiat Oncol Biol Phys 2001;51:103–9PubMed Hammond ME, Ang K, Byhardt R, et al. Tumor utilization committee. Int J Radiat Oncol Biol Phys 2001;51:103–9PubMed
12.
go back to reference Greene FL, Page DL, Fleming ID, et al. AJCC Cancer Staging Handbook. 6 ed. New York: Springer-Verlag, 2002 Greene FL, Page DL, Fleming ID, et al. AJCC Cancer Staging Handbook. 6 ed. New York: Springer-Verlag, 2002
Metadata
Title
Development of an Integrated Biospecimen Bank and Multidisciplinary Clinical Database For Pancreatic Cancer
Authors
Rosa F. Hwang, MD
Huamin Wang, MD, PhD
Axbal Lara, MBA
Henry Gomez, MD
Tracy Chang, BS
Nicole Sieffert, BA
Younghee Moon, BS
Sabina Ram, MS
Stuart Zimmerman, PhD
Jeffrey H. Lee, MD
Peter W. T. Pisters, MD
Eric P. Tamm, MD
Jason B. Fleming, MD
James L. Abbruzzese, MD
Douglas B. Evans, MD
Publication date
01-05-2008
Publisher
Springer-Verlag
Published in
Annals of Surgical Oncology / Issue 5/2008
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-008-9833-1

Other articles of this Issue 5/2008

Annals of Surgical Oncology 5/2008 Go to the issue