Diagnostic efficacy of blood biomarkers for differentiating early-stage pancreatic cancer from chronic pancreatitis: A systematic review and network meta-analysis

Di Wu,Zeng-Kan Du,Yuan-Chen Wang,Yi-Zhou Zheng,Hang-Ming Qi,Yu-Ru-Chen Zhu,Yu Cao,Lei Wang,Wen‐Bin Zou,Zhuan Liao

Published 2026 in Translational Oncology

ABSTRACT

Highlights • Carbohydrate antigen 19–9 (CA199) demonstrated only moderate diagnostic discrimination between pancreatic cancer (PC) and chronic pancreatitis (CP), with reduced efficacy in early-stage PC.• Tumor polypeptide antigen (TPA), microRNAs, extracellular vesicle long RNAs (exLRs), metabolites panel, and carcinoembryonic antigen (CEA) showed unique strengths in their diagnostic ability.• The application of multi-marker panels, particularly those that incorporate miRNAs and exLRs, for early detection of PC in CP holds significant clinical value for improving patient management.

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