The Role of Radiation Therapy for Pancreatic Cancer in the Adjuvant and Neoadjuvant Settings

被引:38
作者
Badiyan, Shahed N. [1 ]
Molitoris, Jason K. [2 ]
Chuong, Michael D. [3 ]
Regine, William F. [1 ]
Kaiser, Adeel [1 ]
机构
[1] Univ Maryland, Sch Med, Dept Radiat Oncol, Baltimore, MD 21201 USA
[2] Univ Maryland, Med Ctr, Dept Radiat Oncol, Baltimore, MD 21201 USA
[3] Baptist Hlth South Florida, Miami Canc Inst, Dept Radiat Oncol, Miami, FL USA
关键词
Pancreatic cancer; Pancreas cancer; Adjuvant; Neoadjuvant; Chemoradiation; Radiation therapy; Proton therapy; Stereotactic body radiotherapy; PHASE-II TRIAL; FULL-DOSE GEMCITABINE; INTENSITY-MODULATED RADIOTHERAPY; INTERFERON-BASED CHEMORADIATION; STEREOTACTIC BODY RADIOTHERAPY; CARBOHYDRATE ANTIGEN 19-9; TWICE-WEEKLY GEMCITABINE; NORMAL-TISSUE EXPOSURE; RESECTABLE ADENOCARCINOMA; CONCURRENT RADIATION;
D O I
10.1016/j.soc.2017.01.012
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Pancreatic cancer is the third leading cause of cancer-related death in the United States. Although surgery remains the only curative treatment, chemotherapy and radiation therapy are frequently used. In the adjuvant setting, radiation is usually delivered with chemotherapy to eradicate residual microscopic or macroscopic disease in the resection bed. Neoadjuvant radiation therapy has become more frequently utilized. This article reviews the historical and modern literature regarding radiation therapy in the neoadjuvant and adjuvant settings, focusing on the evolution of radiation therapy techniques and clinical trials in an attempt to identify patients best suited to receiving radiation therapy.
引用
收藏
页码:431 / +
页数:25
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