The National Comprehensive Cancer Network (NCCN) and the International Cancer of the Pancreas Screening (CAPS) Consortium recently updated pancreatic cancer screening recommendations. However, there are some differences between these recommendations. Specifically, screening with annual MRI/magnetic retrograde cholangiopancreatography (MRCP) and/or endoscopic ultrasound (EUS) is recommended as follows for NCCN versus CAPS:
STK11 regardless of family history:
- NCCN: Consider screening beginning at age 30-35
- CAPS: Consider screening beginning at age 40
CDKN2A regardless of family history:
- NCCN: Consider screening beginning at age 40
- CAPS: Consider screening beginning at age 40
BRCA1/2, PALB2, ATM, MLH1, MSH2 & MSH6 and at least one affected relative with pancreatic cancer:
- NCCN: If first- or second-degree relative affected, consider screening beginning at age 50
- CAPS: If first-degree relative affected, consider screening beginning at age 45-50
EPCAM & TP53:
- NCCN: If first- or second-degree relative affected, consider screening beginning at age 50
- CAPS: Not included in screening recommendations
Check out NCCN guidelines by creating a FREE account at https://www.nccn.org/professionals/physician_gls/pdf/genetics_bop.pdf
Check out the full CAPS article at https://www.ncbi.nlm.nih.gov/pubmed/31672839