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Evolution of the Management of Resectable Pancreatic Cancer. J Oncol Pract 2016 Sep;12(9):772-8

Date

09/14/2016

Pubmed ID

27621326

DOI

10.1200/JOP.2016.015818

Scopus ID

2-s2.0-84987615728 (requires institutional sign-in at Scopus site)   26 Citations

Abstract

In pancreatic cancer, as with many other solid tumors, a commonly held surgical adage-a chance to cut is a chance to cure-has been promulgated throughout the years. Following such reasoning, surgical extirpation of a localized tumor would prevent tumor dissemination and metastatic tumor progression. However, decades of surgical experience have demonstrated that surgical resection alone provides a limited median survival benefit. Despite the optimization of surgical technique and perioperative management over the past three decades, little progress has been made to improve the limited survival of patients with localized pancreatic cancer who receive surgery. In this article, we discuss the rationale for a novel management strategy for patients with resectable pancreatic cancer, which may improve patient selection and the delivery of multimodality therapy.

Author List

Tsai S, Erickson BA, Dua K, Ritch PS, Tolat P, Evans DB

Authors

Kulwinder S. Dua MD Professor in the Medicine department at Medical College of Wisconsin
Beth A. Erickson MD Professor in the Radiation Oncology department at Medical College of Wisconsin
Douglas B. Evans MD Professor in the Surgery department at Medical College of Wisconsin
Parag P. Tolat MD Chief, Professor in the Radiology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Humans
Neoadjuvant Therapy
Neoplasm Staging
Pancreatic Neoplasms
Treatment Outcome