Resectable and Borderline Resectable Pancreatic Ductal Adenocarcinoma: Role of the Radiologist and Oncologist in the Era of Precision Medicine

被引:13
作者
Vernuccio, Federica [1 ]
Messina, Carlo [2 ]
Merz, Valeria [3 ]
Cannella, Roberto [4 ,5 ]
Midiri, Massimo [4 ]
机构
[1] Univ Hosp Paolo Giaccone, Radiol Unit, I-90127 Palermo, Italy
[2] ARNAS Civ, Oncol Unit, I-90127 Palermo, Italy
[3] Santa Chiara Hosp, Dept Med Oncol, I-38122 Trento, Italy
[4] Univ Hosp Palermo, Dept Biomed Neurosci & Adv Diagnost BIND, Via Vespro 129, I-90127 Palermo, Italy
[5] Univ Palermo, Dept Hlth Promot Mother & Child Care, Internal Med & Med Specialties PROMISE, Via Vespro 129, I-90127 Palermo, Italy
关键词
pancreatic ductal adenocarcinoma; pancreatic neoplasm; computed tomography (CT); magnetic resonance imaging (MRI); SPECTRAL MULTIDETECTOR CT; CANCER AMERICAN SOCIETY; NEOADJUVANT THERAPY; INTERNATIONAL CONSENSUS; INDUCTION CHEMOTHERAPY; CHEMORADIATION THERAPY; ADJUVANT CHEMOTHERAPY; RADIATION-THERAPY; TEXTURE ANALYSIS; PERFUSION-CT;
D O I
10.3390/diagnostics11112166
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The incidence and mortality of pancreatic ductal adenocarcinoma are growing over time. The management of patients with pancreatic ductal adenocarcinoma involves a multidisciplinary team, ideally involving experts from surgery, diagnostic imaging, interventional endoscopy, medical oncology, radiation oncology, pathology, geriatric medicine, and palliative care. An adequate staging of pancreatic ductal adenocarcinoma and re-assessment of the tumor after neoadjuvant therapy allows the multidisciplinary team to choose the most appropriate treatment for the patient. This review article discusses advancement in the molecular basis of pancreatic ductal adenocarcinoma, diagnostic tools available for staging and tumor response assessment, and management of resectable or borderline resectable pancreatic cancer.
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页数:16
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