Is Alcohol a Cause of Pancreatic Cancer? Drinking Amounts, Other Causes, and the Latest Treatments, Checked Against National Data and Studies

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In 2024, 41,235 people in Japan died of pancreatic cancer. Among causes of cancer death, it ranks third, after lung cancer and colorectal cancer (National Cancer Center Japan, Cancer Statistics).
Pancreatic cancer is hard to detect and hard to cure. For people diagnosed in 2018, the 5-year relative survival rate was 13.2%, far below the rate for all cancers combined (64.8%).
“People who drink alcohol are more likely to get pancreatic cancer” is a common saying. The pancreas is also an organ that can become inflamed (pancreatitis) from heavy drinking.
In this article, we check the following against national statistics and published studies:
- What national and international assessments say about alcohol and pancreatic cancer
- The relationship between the amount you drink (grams of pure alcohol) and risk
- What is known about causes of pancreatic cancer other than alcohol
- Whether pancreatic cancer is increasing
- Efforts to find it early, and the new treatments as of 2026
Conclusion
- The link between alcohol and pancreatic cancer is not yet at the level of “convincing.” The international assessment (WCRF) is “limited-suggestive,” and that applies only to heavy drinking of more than about 45 g of pure alcohol a day (about 3 drinks). The National Cancer Center Japan’s assessment for Japanese people is “insufficient data.”
- A 2025 study that pooled 30 follow-up studies (about 2.49 million people) found that the more people drank, the more the risk rose, bit by bit. People who drank 60 g or more a day had 1.32 times the risk of people who drank almost nothing. The rise in risk was clear from 15 g or more a day for women and 30 g or more for men. On the other hand, no link was seen in the Asian studies alone.
- Heavy drinking causes chronic pancreatitis, and chronic pancreatitis raises the risk of pancreatic cancer. The effect of alcohol overlaps with this “route through pancreatitis.”
- Clearer links than alcohol are found for smoking (“convincing” in the National Cancer Center Japan’s assessment) and diabetes (“probable”). Obesity, a family history of pancreatic cancer, genetic changes (such as in BRCA), chronic pancreatitis, and pancreatic cysts (such as IPMN) are also known risk factors.
- Deaths from pancreatic cancer rose from 16,613 in 1996 to 41,235 in 2024. Unlike lung cancer, the death rate comparing people of the same age has also kept rising, up 35% for women since 1996. Meanwhile, alcohol consumption per adult has fallen about 26% from its peak in fiscal 1992, so alcohol alone cannot explain the increase.
- Treatment has been changing over the past few years. A Japanese trial showed that giving chemotherapy before surgery extends survival (median 26.6 months to 37.0 months). In August 2026, the oral RAS inhibitor “daraxonrasib” was approved in the US, based on a trial that roughly doubled survival in previously treated metastatic pancreatic cancer (not approved in Japan).
Trends in Deaths from Pancreatic Cancer
| Year | Deaths | Age-adjusted death rate (men) | Age-adjusted death rate (women) |
|---|---|---|---|
| 1958 | 1,620 | 3.4 | 2.3 |
| 1975 | 5,635 | 8.0 | 5.1 |
| 1985 | 10,421 | 11.6 | 6.5 |
| 1996 | 16,613 | 12.4 | 7.2 |
| 2005 | 22,927 | 12.6 | 7.5 |
| 2015 | 31,868 | 12.8 | 8.4 |
| 2024 | 41,235 | 13.9 | 9.7 |
(Age-adjusted death rates are per 100,000 people.)
- 66% of people who die of pancreatic cancer are 75 or older (2024), and the aging of the population is a major reason for the rise in numbers.
- However, the age-adjusted death rate, which removes the effect of age differences, is also rising. From 1996 to 2024 it rose 12% for men and 35% for women. Over the same period, the age-adjusted death rate for lung cancer fell 27% (our article on tobacco and lung cancer).
- The number of people newly diagnosed with pancreatic cancer also rose, from 40,617 in 2016 to 47,540 in 2023 in the National Cancer Registry, and the age-adjusted incidence rate rose from 14.1 to 15.1.
| Age-specific death rate (per 100,000) | 1996 | 2024 | Change |
|---|---|---|---|
| Men, ages 50–54 | 12.7 | 9.4 | −26% |
| Men, ages 70–74 | 70.9 | 85.6 | +21% |
| Men, ages 80–84 | 128.5 | 156.8 | +22% |
| Women, ages 50–54 | 5.6 | 6.6 | +17% |
| Women, ages 70–74 | 40.0 | 59.7 | +49% |
| Women, ages 80–84 | 84.7 | 118.9 | +40% |
(Calculated from National Cancer Center Japan, Cancer Statistics.)
Alcohol Consumption Is Falling
According to the National Tax Agency’s “Sake no Shiori” (Alcohol Handbook), alcohol consumption per adult peaked at 101.8 liters in fiscal 1992 and fell to 75.4 liters in fiscal 2022. The smoking rate among men has also fallen sharply.
Even so, the death rate from pancreatic cancer keeps rising, so the explanation “pancreatic cancer increased because people drink too much” does not match the national figures. What is mainly driving the increase is not clear at present. Along with population aging, several factors are thought to overlap, including diabetes and obesity (discussed below) and the fact that cancers are now found more easily by imaging tests.
Alcohol and Pancreatic Cancer: National and International Assessments
| Assessing body | Verdict |
|---|---|
| National Cancer Center Japan (assessment of studies on Japanese people, May 2026 edition) | Drinking and pancreatic cancer: insufficient data (colorectal, liver, and esophageal cancers are “convincing”) |
| WCRF / AICR (World Cancer Research Fund) | Limited-suggestive (may raise risk). This applies to drinking more than about 45 g a day (about 3 drinks); for smaller amounts, “no conclusion can be drawn” |
| IARC (International Agency for Research on Cancer) | Alcohol itself is “carcinogenic to humans (Group 1).” However, the evidence for a link with pancreatic cancer has been described as “scarce and inconsistent” |
| MHLW “Guidelines on Alcohol Consumption with Health Considerations” (2024) | In its table of “drinking amounts that raise risk” by disease, pancreatic cancer is not listed |
Alcohol is considered a “convincing” cause of cancers of the mouth, throat, esophagus, liver, colon and rectum, and breast. For pancreatic cancer, no such conclusion has been reached yet. The types of alcohol and links with other cancers are summarized in our article on types of alcohol and cancer.
Drinking Amount and Risk: What Studies Show
Pooled Studies Worldwide
| Study | Subjects | Findings |
|---|---|---|
| Naudin 2025 (30 follow-up studies pooled) | About 2.49 million people, 10,067 pancreatic cancer cases | Compared with people who drank almost nothing (0.1–5 g a day): 1.12 times at 30–60 g a day, 1.32 times at 60 g or more. Risk rises 3% for every 10 g a day. Same trend in non-smokers. No link in Asian studies |
| Genkinger 2009 (14 follow-up studies pooled) | 2,187 pancreatic cancer cases | At 30 g or more a day, 1.22 times the risk of non-drinkers |
| Tramacere 2010 (summary of 32 studies) | ― | Fewer than 3 drinks a day: 0.92 times (no increase). 3 or more drinks: 1.22 times |
| Lucenteforte 2012 (10 case-control studies pooled) | 5,585 pancreatic cancer cases | No link at 4 drinks a day or fewer. 9 or more drinks: 1.6 times |
| Wang 2016 (summary of 19 follow-up studies) | About 4.21 million people | No link at light to moderate drinking. 1.15 times at heavy drinking |
In every study, the result is that risk barely changes at low amounts, and is about 1.1 to 1.3 times higher in people who drink a lot. To the question “does risk rise the more you drink?”, the answer is “yes” in the heavy-drinking range and “unclear” in the light to moderate range.
Studies on Japanese People
| Study | Subjects | Findings |
|---|---|---|
| JACC Study (Lin 2002) | About 110,000 people in 45 areas nationwide | No link between drinking and death from pancreatic cancer |
| JPHC Study (Okita 2022) | About 96,000 people, 598 pancreatic cancer cases | Based on drinking amount at the start of the survey, no link in either men or women. No link even when split by whether the person’s face turns red. However, among men whose drinking habits had not changed after 5 years, drinkers (1–299 g a week) had 1.73 times the risk of non-drinkers |
| Takayama Study (Nakamura 2011) | About 30,000 residents of Takayama, Gifu Prefecture | No link between drinking and death from pancreatic cancer (smoking was linked in women) |
Studies of Japanese people have not shown a clear link. This is why the National Cancer Center Japan says “insufficient data.” The worldwide pooled study (Naudin 2025) also saw no link in Asia. The authors point out that few people in the Asian studies drank heavily.
Differences by Type of Alcohol
- For beer and spirits (whisky, shochu, etc.), risk rose slightly the more people drank, and no link was seen for wine (Naudin 2025).
- Another pooled study found 1.43 times the risk in people who drank a lot of spirits (Wang 2016).
However, this does not mean “wine is safe.” Because what people eat with it, how much they drink, and whether they smoke also differ by type of alcohol, it is considered difficult to isolate the effect of the type alone.
Guide to Pure Alcohol Amounts
The national drinking guidelines recommend thinking about the amount of alcohol in grams of pure alcohol.
Pure alcohol (g) = amount of drink (ml) × alcohol content (%) ÷ 100 × 0.8
| Drink | Amount | Pure alcohol |
|---|---|---|
| Beer (5%) | 1 medium bottle or 1 long can (500 ml) | 20 g |
| Nihonshu (sake) (15%) | 1 go (180 ml) | About 22 g |
| Wine (12%) | 1 glass (120 ml) | About 12 g |
| Shochu (25%) | 100 ml | 20 g |
| Canned chuhai (7%) | 350 ml | About 20 g |
| Whisky (43%) | 1 double (60 ml) | About 21 g |
A table of the pure alcohol in shochu served with hot water or cold water is in our article on shochu and health.
- In the studies, the rise in pancreatic cancer risk was clear at 15 g or more a day for women and 30 g or more for men (Naudin 2025).
- WCRF’s benchmark is drinking more than about 45 g a day (a little over 2 long cans of beer, or a little over 2 go of nihonshu).
- The national guidelines define 40 g or more of pure alcohol a day for men and 20 g or more for women as “amounts that raise the risk of lifestyle-related diseases.” Not exceeding this amount is one benchmark, not only for pancreatic cancer.
Why Alcohol Is Said to Be Bad for the Pancreas
- Chronic pancreatitis: Heavy drinking is a main cause of chronic pancreatitis. When researchers looked at people who developed pancreatic cancer 2 or more years after a pancreatitis diagnosis, those with a history of pancreatitis had 2.71 times the risk (Duell 2012, 10 case-control studies pooled).
- Acetaldehyde: A substance produced when the body breaks down alcohol, which is carcinogenic.
- Overlap with smoking: People who drink a lot of alcohol often smoke too, and the effects of both are thought to add up.
It is certain that pancreatitis raises the risk of pancreatic cancer, but the share of all pancreatitis cases that lead to pancreatic cancer is not large. The study above estimated that even if pancreatitis could be prevented, it would reduce pancreatic cancer by only about 1.3%.
What About People Whose Faces Turn Red?
Many Japanese people have a constitution in which the face turns red when drinking and acetaldehyde is hard to break down. This constitution is strongly linked to the risk of esophageal cancer, but in Japan’s JPHC Study, no link between drinking and pancreatic cancer was seen even when people were split by whether their faces turned red (Okita 2022).
Causes Other Than Alcohol
Here we list what studies have found about causes of pancreatic cancer. The multiples compare the likelihood of developing (or dying of) pancreatic cancer with people who do not have that factor.
| Factor | National and other assessments | What studies show |
|---|---|---|
| Smoking | National Cancer Center Japan: convincing | Current smokers have 1.8 times the risk of non-smokers, and risk rises even at small numbers of cigarettes a day (summary of 78 studies, Lugo 2018). In 10 Japanese follow-up studies: 1.59 times for men, 1.81 times for women. In men, risk fell to the level of non-smokers 5 years after quitting (Koyanagi 2019) |
| Secondhand smoke | National Cancer Center Japan: insufficient data | 1.20 times in a summary of 14 studies. Risk rises with daily or routine exposure (Wang 2024) |
| Diabetes | National Cancer Center Japan: probable | 1.94 times in a summary of 35 follow-up studies. Risk is highest within 1 year of a diabetes diagnosis (Ben 2011). People with higher fasting blood sugar are more likely to die of pancreatic cancer (Japanese study, Nagai 2017) |
| Obesity | WCRF: body fat is convincing. National Cancer Center Japan: possible in men | In 9 Japanese follow-up studies, men with a BMI of 30 or more had 1.71 times the risk (Koyanagi 2018). Unclear in women |
| Family history | ― | About 4.6 times with 1 parent, sibling, or child with pancreatic cancer, and about 32 times with 3 or more (review by Poh 2026) |
| Genetic changes | ― | People with changes in genes such as BRCA1 and BRCA2 have higher risk. It is estimated that genetic factors are involved in about 10–20% of people with pancreatic cancer (Limijadi 2024) |
| Chronic pancreatitis | ― | About 2.7 times (Duell 2012, above) |
| Acute pancreatitis | ― | Pancreatic cancer is often found within 2 years after acute pancreatitis (including cases where the cancer itself caused the pancreatitis). Even after 5 or more years, 1.71 times (summary of 61 studies, Lee 2026) |
| Pancreatic cysts, IPMN | ― | Sac-like lesions inside the pancreas. Some IPMN (intraductal papillary mucinous neoplasm) progress to cancer, so they are monitored with regular tests |
| Tall height | WCRF: probable | ― |
| Red meat and processed meat | WCRF: limited-suggestive. National Cancer Center Japan: insufficient data | 1.19 times for every 50 g a day increase in processed meat (Larsson 2012). Red meat was linked only in men (same study). Results differ depending on how studies are pooled |
- Comparing multiples, you can see that smoking (about 1.8 times), diabetes (about 1.9 times), and family history (about 4.6 times) are larger than heavy drinking (1.1 to 1.3 times).
- Diabetes is a “cause,” but it can also be the first sign of pancreatic cancer. The Cancer Information Service also explains that the sudden onset or sudden worsening of diabetes can lead to the discovery of pancreatic cancer.
Finding It Early
With pancreatic cancer, survival differs greatly depending on how far it has spread when found.
| Spread at diagnosis (diagnosed in 2018) | 5-year relative survival |
|---|---|
| Confined to the pancreas (localized) | 42.4% |
| Spread to nearby lymph nodes, etc. (regional) | 15.9% |
| Metastasized to distant organs (distant) | 2.2% |
(National Cancer Center Japan, Cancer Information Service, “Pancreas”; National Cancer Registry.)
- Because pancreatic cancer is not a cancer that many people get, screening everyone without symptoms is not recommended in Japan or abroad (review by Poh 2026). Pancreatic cancer is also not included in the national “cancer screening” program.
- The 2025 clinical practice guidelines of the Japan Pancreas Society newly added a “suggestion” that people with genetic changes that make pancreatic cancer more likely, and people from familial pancreatic cancer families, receive detailed examinations and follow-up with pancreatic cancer in mind (the strength of recommendation is “weak”). Tests for people without symptoms are not covered by insurance, and it is reported that having MRI (MRCP) and endoscopic ultrasound twice a year comes to about 50,000 yen a year out of pocket.
- In Onomichi, Hiroshima Prefecture, the “Onomichi method” has been used since 2007: family doctors refer people with diabetes, a family history, pancreatic cysts, and the like to specialist hospitals for detailed examinations (endoscopic ultrasound, etc.), and many early-stage pancreatic cancers have been found. The doctor in charge reported that 5-year survival reached about 20%. The 2025 guidelines also say such regional efforts “may be expected to improve prognosis,” while noting that their effect needs to be verified.
If you have symptoms of concern (abdominal or back pain, weight loss, jaundice), if diabetes has suddenly appeared or suddenly worsened, or if someone in your family has had pancreatic cancer, please consult your family doctor.
New Treatments for Pancreatic Cancer (as of September 2026)
| Treatment | What it is and what is known | Status in Japan |
|---|---|---|
| Chemotherapy before and after surgery | For resectable pancreatic cancer, using 2 courses of gemcitabine + S-1 before surgery raised median survival from 26.6 months to 37.0 months, compared with going straight to surgery (Prep-02/JSAP05, Japanese trial of 364 people, Unno 2026). S-1 after surgery raised 5-year survival from 24.4% with gemcitabine to 44.1% (JASPAC 01, Uesaka 2016) | Standard treatment (adjuvant therapy before and after surgery, plus resection) |
| NALIRIFOX regimen (liposomal irinotecan + oxaliplatin + 5-FU + leucovorin) | As first treatment for pancreatic cancer with distant metastasis, median survival rose from 9.2 months to 11.1 months compared with gemcitabine + nab-paclitaxel (NAPOLI 3, 770 people, Wainberg 2023) | Newly listed in the 2025 guidelines. Application to add first-line use filed in December 2025 |
| RAS inhibitor daraxonrasib (oral drug) | A drug targeting RAS gene changes, found in more than 90% of pancreatic cancers. In 500 people with previously treated metastatic pancreatic cancer, median survival rose from 6.7 months with chemotherapy to 13.2 months (RASolute 302, O’Reilly 2026). Common side effects were rash and diarrhea | Approved in the US on August 26, 2026. Not approved in Japan |
| Olaparib (PARP inhibitor) | Maintenance therapy after chemotherapy for people with BRCA gene changes. Median survival did not differ, but 3-year survival was 33.9% vs. 17.8% (POLO, Kindler 2022) | Approved in December 2020 |
| Carbon-ion and proton beam therapy | Delivers strong radiation focused on the cancer | For locally advanced pancreatic cancer that cannot be operated on, covered by insurance since April 2022. For resectable pancreatic cancer, carbon-ion therapy alone led to shorter survival than surgery plus chemotherapy (single-center comparison, Yamamoto 2023) |
| mRNA cancer vaccine (autogene cevumeran) | A vaccine made for each person after analyzing the genes of the cancer removed in surgery. In a phase 1 trial (16 people), the 8 people who responded to the vaccine had later recurrence than the 8 who did not (Rojas 2023, Sethna 2025) | Research stage (the phase 2 trial IMCODE003 is underway overseas) |
- In the 2025 guidelines, “5-FU + leucovorin + liposomal irinotecan” as second-line treatment was upgraded to “recommended.”
- The daraxonrasib trial was funded by a US pharmaceutical company. New drugs have set conditions for use (type of cancer, treatment history, genetic changes). Please discuss how to choose treatment with your doctor.
What You Can Do for Your Pancreas
| Action | Reason |
|---|---|
| Quit smoking | “Convincing” in the National Cancer Center Japan’s assessment. In a Japanese study, men’s risk fell to the level of non-smokers 5 years after quitting |
| Don’t drink heavily | Studies found risk rising at 15 g or more a day for women and 30 g or more for men. Stay within the national benchmarks (40 g for men, 20 g for women) |
| Maintain your weight | Body fat is a “convincing” cause per WCRF |
| Manage diabetes and watch for sudden changes | Diabetes is “probable.” Newly appearing or worsening diabetes can sometimes be a sign of pancreatic cancer |
| Know your family history | If many family members have had pancreatic cancer, consult a doctor |
As ways to cut down on drinking, the national drinking guidelines list deciding how much you will drink beforehand, eating before and while you drink, drinking water between drinks, choosing drinks that contain no alcohol, and having alcohol-free days each week.
What About Fruit?
The relationship between fruit and pancreatic cancer is not yet known.
- The World Cancer Research Fund (WCRF) says of fruits and vegetables that “the evidence is limited and no conclusion can be drawn.” The National Cancer Center Japan’s assessment is also “insufficient data.”
- In the same WCRF assessment, “foods and drinks containing fructose” are rated “suggestive of increased risk (limited).” In a summary of 6 follow-up studies, risk was 1.22 times for every 25 g a day increase in fructose. However, WCRF says this fructose comes from many different sources, such as soft drinks, fruit juice, and sugar, and is difficult to interpret.
The difference between the fructose in fruit and the fructose in high-fructose corn syrup (“果糖ぶどう糖液糖”) found in soft drinks and the like is sorted out from studies in our article on fructose in fruit. Separately from pancreatic cancer, the government sets a goal of eating 200 g of fruit a day (Health Japan 21). The view of Japan and the WHO is that if you eat fruit, whole fruit is better than juice.
Note There is no evidence that fruit can prevent pancreatic cancer. If you are being treated for diabetes, follow your doctor’s instructions about how much fruit to eat.
For People Who Want to Drink Less: Non-Alcoholic Beer (Rakuten Ichiba)
If you replace the first or second beer of your evening drink with non-alcoholic beer, that much pure alcohol drops to zero (20 g for one long can).
| Suntory All-Free | Kirin Greens Free | Asahi Dry Zero | |
|---|---|---|---|
| Alcohol content | 0.00% | 0.00% | 0.00% |
| Volume | 350 ml × 24 cans | 350 ml × 28 cans | 350 ml × 24 cans |
| Price (tax included) | 3,359 yen | 4,092 yen | 3,606 yen |
| Store | Rakuten 24 Healthcare Hall (楽天24 ヘルスケア館) | Rakuten 24 (楽天24) | Rakuten 24 (楽天24) |
| Buy | See on Rakuten (楽天24) PR See on Amazon.co.jp PR See on Yahoo! Shopping PR |
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(Checked on the Rakuten Ichiba sales pages on September 29, 2026. Prices and shipping fees may change. These products cannot be purchased by anyone under 20.)
Note Non-alcoholic beer is not a drink that prevents pancreatic cancer. It is introduced as a substitute to help you reduce how much alcohol you drink. If you are being treated for chronic pancreatitis, diabetes, or similar conditions, follow your doctor’s instructions about drinks as well. If you want to stop drinking but cannot, you can consult a medical institution, a public health center, or a mental health and welfare center.
Summary
- The conclusion of the research on alcohol and pancreatic cancer is that “risk is slightly higher (1.1 to 1.3 times) in people who drink heavily.” At light to moderate amounts there is no clear link. In studies of Japanese people, the verdict is still “insufficient data.”
- As benchmarks for drinking amount: 15 g a day for women and 30 g for men, where studies clearly showed higher risk, and 40 g for men and 20 g for women, the national “amounts that raise the risk of lifestyle-related diseases.”
- Factors more strongly linked to pancreatic cancer are smoking, diabetes, obesity, family history, and genetic changes. Alcohol also affects risk through chronic pancreatitis.
- The age-adjusted death rate from pancreatic cancer keeps rising even now that alcohol consumption and smoking have fallen. Alcohol alone cannot explain it, and the cause is not clear.
- Treatment is changing, with chemotherapy before and after surgery, new chemotherapy combinations, RAS inhibitors, carbon-ion therapy, and mRNA vaccines. Whether each is available in Japan differs by treatment.
Sources
- National Cancer Center Japan, Cancer Information Service, “Cancer Statistics” tables (national cancer deaths 1958–2024, national cancer incidence 1975–2015, National Cancer Registry 2016–2023) (in Japanese) https://ganjoho.jp/reg_stat/statistics/data/dl/index.html
- National Cancer Center Japan, Cancer Information Service, “Pancreas” (statistics by cancer type) (in Japanese) https://ganjoho.jp/reg_stat/statistics/stat/cancer/10_pancreas.html
- National Cancer Center Japan, Cancer Information Service, “Pancreatic Cancer” (in Japanese) https://ganjoho.jp/public/cancer/pancreas/index.html
- National Cancer Center Japan, Institute for Cancer Control, “List of Assessments of Cancer Risk and Preventive Factors” ver. 20260526 (in Japanese) https://epi.ncc.go.jp/can_prev/outcome/index.html
- MHLW, “Guidelines on Alcohol Consumption with Health Considerations” (February 2024) (in Japanese) https://www.mhlw.go.jp/content/12201000/001217871.pdf
- National Tax Agency, “Sake no Shiori” (Alcohol Handbook) (fiscal 2025) (in Japanese) https://www.nta.go.jp/taxes/sake/shiori-gaikyo/shiori/2025/pdf/0002.pdf
- World Cancer Research Fund / AICR, “Diet, nutrition, physical activity and pancreatic cancer” (CUP, 2012, revised 2018) / “Alcoholic drinks and the risk of cancer” (2018) https://www.wcrf.org/
- Nikkei Medical Cancer Navi, “2025 Edition of the Clinical Practice Guidelines for Pancreatic Cancer Published” (August 2025) (in Japanese) https://medical.nikkeibp.co.jp/leaf/all/cancernavi/news/202508/589776.html
- Japanese Society for Radiation Oncology, “Diseases Covered by Insurance for Particle Beam Therapy (Proton Beam and Carbon-Ion Therapy)” (in Japanese) https://www.jastro.or.jp/medicalpersonnel/particle_beam/2022/07/post-10.html
- Servier Japan, “Onivyde: Application for Partial Change Approval for First-Line Treatment of Unresectable Pancreatic Cancer” (December 16, 2025) (in Japanese)
- AstraZeneca Japan, “Lynparza Simultaneously Obtains Expanded Indications in Japan for Advanced Ovarian, Prostate, and Pancreatic Cancer” (December 28, 2020) (in Japanese) https://www.astrazeneca.co.jp/news/press-releases1/2020/2020122802.html
- US FDA, “FDA approves daraxonrasib for metastatic pancreatic adenocarcinoma” (August 2026) https://www.fda.gov/drugs/resources-information-approved-drugs/fda-approves-daraxonrasib-metastatic-pancreatic-adenocarcinoma
- Medical Note, “What Are the Results of the ‘Onomichi Method’ Early Diagnosis Project for Pancreatic Cancer?” (Dr. Hanada, 2017) (in Japanese) https://medicalnote.jp/diseases/%E8%86%B5%E8%87%93%E3%81%8C%E3%82%93/contents/170823-002-XU
- Naudin S et al. (2025) PLoS Med. https://pubmed.ncbi.nlm.nih.gov/40392909/
- Genkinger JM et al. (2009) Cancer Epidemiol Biomarkers Prev. https://pubmed.ncbi.nlm.nih.gov/19258474/
- Tramacere I et al. (2010) Int J Cancer. https://pubmed.ncbi.nlm.nih.gov/19816941/
- Lucenteforte E et al. (2012) Ann Oncol. https://pubmed.ncbi.nlm.nih.gov/21536662/
- Wang YT et al. (2016) BMC Cancer. https://pubmed.ncbi.nlm.nih.gov/26968702/
- Michaud DS et al. (2010) Cancer Causes Control. https://pubmed.ncbi.nlm.nih.gov/20373013/
- Lin Y et al. (2002) Int J Cancer (JACC Study). https://pubmed.ncbi.nlm.nih.gov/12115510/
- Okita Y et al. (2022) Cancer Epidemiol Biomarkers Prev (JPHC Study). https://pubmed.ncbi.nlm.nih.gov/36066876/
- Nakamura K et al. (2011) Jpn J Clin Oncol (Takayama Study). https://pubmed.ncbi.nlm.nih.gov/21075833/
- Duell EJ et al. (2012) Ann Oncol (pancreatitis and pancreatic cancer). https://pubmed.ncbi.nlm.nih.gov/22767586/
- Lugo A et al. (2018) Eur J Cancer. https://pubmed.ncbi.nlm.nih.gov/30347287/
- Koyanagi YN et al. (2019) Cancer Epidemiol Biomarkers Prev (smoking, 10 Japanese cohorts). https://pubmed.ncbi.nlm.nih.gov/31113869/
- Koyanagi YN et al. (2018) J Epidemiol (BMI, 9 Japanese cohorts). https://pubmed.ncbi.nlm.nih.gov/29225297/
- Wang J et al. (2024) PeerJ (secondhand smoke). https://pubmed.ncbi.nlm.nih.gov/39399427/
- Ben Q et al. (2011) Eur J Cancer (diabetes). https://pubmed.ncbi.nlm.nih.gov/21458985/
- Nagai M et al. (2017) Cancer Causes Control (EPOCH-JAPAN). https://pubmed.ncbi.nlm.nih.gov/28352981/
- Larsson SC et al. (2012) Br J Cancer (red and processed meat). https://pubmed.ncbi.nlm.nih.gov/22240790/
- Lee J et al. (2026) Clin Transl Gastroenterol (acute pancreatitis and pancreatic cancer). https://pubmed.ncbi.nlm.nih.gov/41066080/
- Limijadi EKS et al. (2024) PLoS One (BRCA1/2 and familial pancreatic cancer). https://pubmed.ncbi.nlm.nih.gov/38809921/
- Poh AR et al. (2026) Commun Med (surveillance of high-risk people). https://pubmed.ncbi.nlm.nih.gov/42557274/
- Unno M et al. (2026) Ann Surg (Prep-02/JSAP05). https://pubmed.ncbi.nlm.nih.gov/40235447/
- Uesaka K et al. (2016) Lancet (JASPAC 01). https://pubmed.ncbi.nlm.nih.gov/27265347/
- Wainberg ZA et al. (2023) Lancet (NAPOLI 3). https://pubmed.ncbi.nlm.nih.gov/37708904/
- O’Reilly EM et al. (2026) N Engl J Med (RASolute 302). https://pubmed.ncbi.nlm.nih.gov/42223072/
- Kindler HL et al. (2022) J Clin Oncol (POLO). https://pubmed.ncbi.nlm.nih.gov/35834777/
- Yamamoto N et al. (2023) Anticancer Res (carbon-ion therapy vs. surgery). https://pubmed.ncbi.nlm.nih.gov/36697091/
- Rojas LA et al. (2023) Nature (mRNA vaccine). https://pubmed.ncbi.nlm.nih.gov/37165196/
- Sethna Z et al. (2025) Nature (long-term follow-up of mRNA vaccine). https://pubmed.ncbi.nlm.nih.gov/39972124/
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- What Are Tumor Markers? Origins, Types, Positive Rates by Cancer, Cost, and How to Read Results, Checked Against Society Guidelines and Studies