Diagnosis and Management of Borderline Resectable Pancreatic Adenocarcinoma

被引:18
作者
Schwarz, Lilian [1 ]
Katz, Matthew Harold G. [1 ]
机构
[1] Univ Texas MD Anderson Canc Ctr, Dept Surg Oncol, Houston, TX 77030 USA
关键词
Borderline resectable; Pancreatic cancer; Pancreatoduodenectomy; Neoadjuvant therapy; Chemotherapy; Chemoradiation; GEMCITABINE-BASED CHEMORADIATION; IN-HOSPITAL MORTALITY; PREOPERATIVE GEMCITABINE; CONCURRENT CHEMORADIATION; ENDOSCOPIC ULTRASOUND; NEOADJUVANT THERAPY; COMPUTED-TOMOGRAPHY; CONSENSUS STATEMENT; STAGING LAPAROSCOPY; EARLY RECURRENCE;
D O I
10.1016/j.hoc.2015.04.004
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Borderline resectable pancreatic cancer represents a subcategory of advanced cancer that is typically defined by limited involvement of the major mesenteric vasculature. Such involvement is associated with a high likelihood of microscopically incomplete resection if surgery is used as the primary therapeutic modality. Increasing data support the role of neo-adjuvant therapy as part of multimodality management but there is no uniformly accepted standard of care. This review discusses, based on recent literature and the experience of the Pancreatic Tumor Study Group at The University of Texas MD Anderson Cancer Center, the classification, definition, diagnosis, and management of borderline resectable pancreatic cancer.
引用
收藏
页码:727 / +
页数:15
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