Stereotactic Body Radiation Therapy (SBRT) for Unresectable Pancreatic Carcinoma

Survival in patients with unresectable pancreatic carcinoma is poor. Studies by Mayo Clinic and the Gastrointestinal Tumor Study Group (GITSG) have established combined modality treatment with chemotherapy and radiation as the standard of care. Use of gemcitabine-based chemotherapy alone has also be...

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Main Authors: Robert C. Miller, Michael C. Stauder
Format: Article
Language:English
Published: MDPI AG 2010-08-01
Series:Cancers
Subjects:
Online Access:http://www.mdpi.com/2072-6694/2/3/1565/
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author Robert C. Miller
Michael C. Stauder
author_facet Robert C. Miller
Michael C. Stauder
author_sort Robert C. Miller
collection DOAJ
description Survival in patients with unresectable pancreatic carcinoma is poor. Studies by Mayo Clinic and the Gastrointestinal Tumor Study Group (GITSG) have established combined modality treatment with chemotherapy and radiation as the standard of care. Use of gemcitabine-based chemotherapy alone has also been shown to provide a benefit, but 5‑year overall survival still remains less than 5%. Conventional radiotherapy is traditionally delivered over a six week period and high toxicity is seen with the concomitant use of chemotherapy. In contrast, SBRT can be delivered in 3–5 days and, when used as a component of combined modality therapy with gemcitabine, disruption to the timely delivery of chemotherapy is minimal. Early single-institution reports of SBRT for unresectable pancreatic carcinoma demonstrate excellent local control with acceptable toxicity. Use of SBRT in unresectable pancreatic carcinoma warrants further investigation in order to improve the survival of patients with historically poor outcomes.
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spelling doaj.art-98081b87dffe417dabf9b27813e1f1052023-09-02T14:02:50ZengMDPI AGCancers2072-66942010-08-01231565157510.3390/cancers2031565Stereotactic Body Radiation Therapy (SBRT) for Unresectable Pancreatic CarcinomaRobert C. MillerMichael C. StauderSurvival in patients with unresectable pancreatic carcinoma is poor. Studies by Mayo Clinic and the Gastrointestinal Tumor Study Group (GITSG) have established combined modality treatment with chemotherapy and radiation as the standard of care. Use of gemcitabine-based chemotherapy alone has also been shown to provide a benefit, but 5‑year overall survival still remains less than 5%. Conventional radiotherapy is traditionally delivered over a six week period and high toxicity is seen with the concomitant use of chemotherapy. In contrast, SBRT can be delivered in 3–5 days and, when used as a component of combined modality therapy with gemcitabine, disruption to the timely delivery of chemotherapy is minimal. Early single-institution reports of SBRT for unresectable pancreatic carcinoma demonstrate excellent local control with acceptable toxicity. Use of SBRT in unresectable pancreatic carcinoma warrants further investigation in order to improve the survival of patients with historically poor outcomes.http://www.mdpi.com/2072-6694/2/3/1565/stereotactic radiotherapyradiotherapypancreatic neoplasms
spellingShingle Robert C. Miller
Michael C. Stauder
Stereotactic Body Radiation Therapy (SBRT) for Unresectable Pancreatic Carcinoma
Cancers
stereotactic radiotherapy
radiotherapy
pancreatic neoplasms
title Stereotactic Body Radiation Therapy (SBRT) for Unresectable Pancreatic Carcinoma
title_full Stereotactic Body Radiation Therapy (SBRT) for Unresectable Pancreatic Carcinoma
title_fullStr Stereotactic Body Radiation Therapy (SBRT) for Unresectable Pancreatic Carcinoma
title_full_unstemmed Stereotactic Body Radiation Therapy (SBRT) for Unresectable Pancreatic Carcinoma
title_short Stereotactic Body Radiation Therapy (SBRT) for Unresectable Pancreatic Carcinoma
title_sort stereotactic body radiation therapy sbrt for unresectable pancreatic carcinoma
topic stereotactic radiotherapy
radiotherapy
pancreatic neoplasms
url http://www.mdpi.com/2072-6694/2/3/1565/
work_keys_str_mv AT robertcmiller stereotacticbodyradiationtherapysbrtforunresectablepancreaticcarcinoma
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