Combined modality treatments in pancreatic cancer

被引:10
|
作者
Lombardi, Lucia [1 ]
Troiano, Michele [2 ]
Silvestris, Nicola [3 ]
Nanni, Luciano [1 ]
Latiano, Tiziana Pia [1 ]
Di Maggio, Gabriele [1 ]
Cinieri, Saverio [4 ]
Di Sebastiano, Pierluigi [5 ]
Colucci, Giuseppe [3 ]
Maiello, Evaristo [1 ]
机构
[1] IRCCS Casa Sollievo Sofferenza, Oncol Unit, San Giovanni Rotondo, FG, Italy
[2] IRCCS Casa Sollievo Sofferenza, Radiat Therapy Unit, San Giovanni Rotondo, FG, Italy
[3] Natl Canc Inst Giovanni Paolo II, Med & Expt Oncol Unit, Bari, Italy
[4] Perrino Hosp, Med Oncol Unit, Brindisi, Italy
[5] IRCCS Casa Sollievo Sofferenza, Surg Unit, San Giovanni Rotondo, FG, Italy
关键词
adjuvant therapy; chemoradiotherapy; neoadjuvant therapy; pancreatic cancer; GEMCITABINE-BASED CHEMORADIATION; PHASE-III TRIAL; RESECTABLE ADENOCARCINOMA; SURGICAL RESECTION; PREOPERATIVE CHEMORADIATION; NEOADJUVANT THERAPY; RADIATION-THERAPY; CHEMOTHERAPY; CISPLATIN; CHEMORADIOTHERAPY;
D O I
10.1517/14728222.2012.662959
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Introduction: Of all the carcinomas, pancreatic carcinoma (PC) has the highest mortality rate, with a 1- and 5-year survival rate of 25% and less than 5% respectively. This is regardless of the stage at diagnosis. Areas covered: In this review relevant literature assessing the evidence regarding preoperative and adjuvant chemoradiotherapy (CRT) is discussed. Furthermore, new therapeutic approaches are summarized, while the future direction regarding the multimodality approach to PC is also discussed. Expert opinion: The role of combined-modality therapy for PC is continuously evolving. There have been several recent developments, as well as the completion of major, multi-institutional clinical trials. One of the challenges for the busy clinician is to appreciate the variation in staging, surgical expertise, and application of either definitive CRT or neo-adjuvant CRT for local and/or borderline disease.
引用
收藏
页码:S71 / S81
页数:11
相关论文
共 50 条
  • [1] Combined modality therapy for pancreatic cancer
    Tsai, JY
    Iannitti, DA
    Safran, H
    [J]. SEMINARS IN ONCOLOGY, 2003, 30 (04) : 71 - 79
  • [2] Pancreatic cancer - the role of systemic and combined modality treatment
    Kubicka-Wolkowska, Joanna
    Czyzykowski, Rafal
    Debska-Szmich, Sylwia
    Lisik-Habib, Maja
    Potemski, Piotr
    [J]. ONCOLOGY IN CLINICAL PRACTICE, 2014, 10 (03): : 152 - 159
  • [3] Combined treatments improve pancreatic cancer survival
    不详
    [J]. EUROPEAN JOURNAL OF CANCER, 2006, 42 (01) : 2 - 2
  • [4] SURVIVAL AFTER COMBINED MODALITY THERAPY FOR PANCREATIC-CANCER
    BRUCKNER, HW
    KALNICKI, S
    DALTON, J
    SNADY, H
    SCHWARTZ, GK
    CHESSER, MR
    LEHRER, D
    MANDELI, J
    HARPAZ, N
    JANUS, C
    [J]. JOURNAL OF CLINICAL GASTROENTEROLOGY, 1993, 16 (03) : 199 - 203
  • [5] PREOPERATIVE COMBINED-MODALITY THERAPY FOR PANCREATIC-CANCER
    RICH, TA
    EVANS, DB
    [J]. WORLD JOURNAL OF SURGERY, 1995, 19 (02) : 264 - 269
  • [6] COMBINED MODALITY TREATMENT OF PANCREATIC-CANCER - IMPLICATIONS FOR THE SURGEON
    METZGER, UF
    KISNER, DL
    GHOSH, BC
    [J]. JOURNAL OF SURGICAL ONCOLOGY, 1983, 24 (02) : 107 - 112
  • [7] Intraoperative radiotherapy in the combined-modality management of pancreatic cancer
    Schuricht, AL
    Spitz, F
    Barbot, D
    Rosato, F
    [J]. AMERICAN SURGEON, 1998, 64 (11) : 1043 - 1049
  • [8] Pleural mesothelioma: combined modality treatments
    Giaccone, G
    [J]. ANNALS OF ONCOLOGY, 2002, 13 : 217 - 225
  • [9] Hypoxia as a target for combined modality treatments
    Wouters, BG
    Weppler, SA
    Koritzinsky, M
    Landuyt, W
    Nuyts, S
    Theys, J
    Chiu, RK
    Lambin, P
    [J]. EUROPEAN JOURNAL OF CANCER, 2002, 38 (02) : 240 - 257
  • [10] Recent Advances in Combined Modality Treatment for Locally Advanced Pancreatic Cancer
    Aksu, Gorkem
    Sarper, Binnaz
    Ulutin, Cuneyt
    Bakkal, Hakan
    [J]. CURRENT CANCER THERAPY REVIEWS, 2005, 1 (03) : 227 - 237