TY - JOUR
T1 - Preoperative chemoradiation for adenocarcinoma of the pancreas
T2 - M.D. Anderson experience
AU - Evans, Douglas B.
AU - Abbruzzese, James L.
AU - Lee, Jeffrey E.
AU - Leach, Steven D.
AU - Charnsangavej, Chusilp
AU - Cleary, Karen R.
AU - Buchholz, Daniel J.
AU - Rich, Tyvin A.
N1 - Copyright:
Copyright 2016 Elsevier B.V., All rights reserved.
PY - 1995
Y1 - 1995
N2 - Pancreatic cancer remains the fourth leading cause of cancer‐related deaths in adults in this country. Its etiology is unknown, and there is currently no effective method of early diagnosis. Although this article wil focus on the proper management of patients with potentially resectable disease, such patients represent the minority of those diagnosed with pancreatic cancer. Therefore, at most medical centers, clinical and basic science research is proceeding in parallel: while attempting to optimize the length and quality of life of patients with localized pancreatic tunors, research is also focusing on developing improved strategies for early and effective systemic therapy. For patients with localized pancreatic cancer, data from our institution support the use of detailed preoperative imaging studied to allow accurate assessment of tumor resectability. Patients found to have locally advanced or metastatic disease do not undergo laparotomy; biliary decompression, when necessary, is performed utilizing endoscopic or laparoscopic techniques. Pancreaticoduodenectomy is performed on carefully selected patients as part of a protocol‐based clinical research program emphasizing the importance of multimodality management for patients with potentially resectable adenocarcinoma of the pancreatic head. ©1995 Wiley‐Liss, Inc.
AB - Pancreatic cancer remains the fourth leading cause of cancer‐related deaths in adults in this country. Its etiology is unknown, and there is currently no effective method of early diagnosis. Although this article wil focus on the proper management of patients with potentially resectable disease, such patients represent the minority of those diagnosed with pancreatic cancer. Therefore, at most medical centers, clinical and basic science research is proceeding in parallel: while attempting to optimize the length and quality of life of patients with localized pancreatic tunors, research is also focusing on developing improved strategies for early and effective systemic therapy. For patients with localized pancreatic cancer, data from our institution support the use of detailed preoperative imaging studied to allow accurate assessment of tumor resectability. Patients found to have locally advanced or metastatic disease do not undergo laparotomy; biliary decompression, when necessary, is performed utilizing endoscopic or laparoscopic techniques. Pancreaticoduodenectomy is performed on carefully selected patients as part of a protocol‐based clinical research program emphasizing the importance of multimodality management for patients with potentially resectable adenocarcinoma of the pancreatic head. ©1995 Wiley‐Liss, Inc.
KW - chemoradiation
KW - computed tomography
KW - pancreatic cancer
KW - pancreaticoduodenectomy
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U2 - 10.1002/ssu.2980110210
DO - 10.1002/ssu.2980110210
M3 - Article
AN - SCOPUS:0028931524
SN - 8756-0437
VL - 11
SP - 132
EP - 140
JO - Seminars in Surgical Oncology
JF - Seminars in Surgical Oncology
IS - 2
ER -