Table 1.
Patient Demographics, Tumor Clinicopathologic Features and Genetic Characteristics of Patients with Circulating Tumor Cells based upon ALDH staining
| Variable | All patients (n=60) (%) | ALDH-positive CTCs (n=46) | Absence of ALDH-positive CTCs (n=14) | P-Value |
|---|---|---|---|---|
|
| ||||
| Average Age (range) (years) | 64.6 (27–88) | 65.3 (27–88) | 63.4 (40–86) | 0.42 |
|
| ||||
| Gender | ||||
|
|
||||
| Male | 37 (62%) | 29 (63%) | 8 (57%) | 0.76 |
|
|
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| Female | 23 (38%) | 17 (37%) | 6 (24%) | |
|
| ||||
| Average CA19-9 | 612 (0.6–9032) | 711 (0.6–9032) | 242 (1–1031) | 0.16 |
|
| ||||
| CA 19-9 Level (n=46) | 0.43 | |||
|
|
||||
| High (> 36) | 28 (61%) | 23 (64%) | 5 (50%) | |
|
|
||||
| Low (< 36) | 18 (39%) | 13 (36%) | 5 (50%) | |
|
| ||||
| Surgical Resection | ||||
|
| ||||
| Whipple | 44 (73%) | 33 (72%) | 11 (79%) | 0.87 |
|
|
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| Distal pancreatectomy | 12 (20%) | 10 (22%) | 2 (14%) | |
|
|
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| Total pancreatectomy | 4 (7%) | 3 (6%) | 1 (7%) | |
|
| ||||
| Average Tumor Size (range) (cm) | 3.2 (0.1 – 8) | 3.2 (0.1–8) | 3.1 (0.1–6) | 0.85 |
|
| ||||
| Tumor Grade | ||||
|
|
||||
| Well | 3 (5%) | 3 (7%) | 0 (0%) | >0.99 |
|
|
||||
| Moderate | 31 (52%) | 23 (50%) | 8 (57%) | |
|
|
||||
| Poor | 25 (41%) | 19 (41%) | 6 (43%) | |
|
|
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| Not specified | 1 (2%) | 1 (2%) | 0 (0%) | |
|
| ||||
| Positive lymph nodes | 42 (70%) | 31 (67%) | 11 (79%) | 0.52 |
|
| ||||
| Positive margin | 12 (20%) | 9 (20%) | 3 (21%) | > 0.99 |
|
| ||||
| Stage | ||||
|
|
||||
| Stage I | 12 (20%) | 10 (22%) | 2 (14%) | 0.39 |
|
|
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| Stage II | 46 (76%) | 35 (76%) | 11 (79%) | |
|
|
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| Stage III | 1 (2%) | 0 (0%) | 1 (7%) | |
|
|
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| Stage IV | 1 (2%) | 1 (2%) | 0 (0%) | |
|
| ||||
| Perineural invasion | 47 (78%) | 36 (78%) | 11 (79%) | 0.99 |
|
| ||||
| Perivascular invasion | 40 (67%) | 31 (67%) | 9 (64%) | >0.99 |
|
| ||||
| Neoadjuvant Chemotherapy | 24 (40%) | 19 (41%) | 5 (36%) | 0.77 |
|
| ||||
| Adjuvant Chemotherapy | 52 (91%) | 40 (89%) | 12 (100%) | 0.57 |
|
| ||||
| Average Percent Cells Staining with ALDH | 50% (<5–100%) | 50% (<5–100%) | 60% (20–90%) | 0.59 |
|
| ||||
| Primary tumor ALDH Staining - Intensity | 0.55 | |||
|
|
||||
| Weak | 9 (15%) | 6 (13%) | 3 (21%) | |
|
|
||||
| Moderate | 34 (57%) | 27 (59%) | 7 (50%) | |
|
|
||||
| Strong | 17 (28%) | 13 (28%) | 4 (29%) | |
|
| ||||
| ALDH staining as intense as controls (n=57) | 0.52 | |||
|
|
||||
| Yes | 24 (42%) | 20 (45%) | 4 (31%) | |
|
|
||||
| No | 33 (58%) | 24 (55%) | 9 (69%) | |