Patients with hereditary pancreatitis have a 40% lifetime risk of developin
g pancreatic ductal adenocarcinoma. Existing methods of diagnosing pancreat
ic cancer such as tumor markers, endoscopy, and radiological imaging lack t
he sensitivity and specificity for early diagnosis, particularly in a backg
round of chronic pancreatitis. Molecular based strategies offer new avenues
of screening for pancreatic ductal adenocarcinoma in these high-risk patie
nts, which may allow the development of highly sensitive and specific diagn
ostic tests for the early detection or cancer.