Chemoradiation of pancreatic carcinoma

Pancreatic carcinoma is a malignancy with a poor prognosis and the 4th. most common cause of cancer-related deaths. Patients are usually diagnosed at advanced stage of the disease. Surgical resection remains the only potentially curative therapy, as only 20% of the patients present with disease are...

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Main Authors: Erdinç Nayır, Ekin Ermis
Format: Article
Language:English
Published: Turkiye Klinikleri 2016-08-01
Series:Journal of Oncological Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2452336416300048
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author Erdinç Nayır
Ekin Ermis
author_facet Erdinç Nayır
Ekin Ermis
author_sort Erdinç Nayır
collection DOAJ
description Pancreatic carcinoma is a malignancy with a poor prognosis and the 4th. most common cause of cancer-related deaths. Patients are usually diagnosed at advanced stage of the disease. Surgical resection remains the only potentially curative therapy, as only 20% of the patients present with disease are amenable to resection. Surgery, chemotherapy, radiotherapy and palliative therapies are therapeutic options. Multidisciplinary approach is needed for every stage of the disease. Researches showed an improved survival benefit of radiotherapy (RT) and chemotherapy (CT) combination for locally advanced unresectable pancreatic carcinoma compared to RT or CT alone. In an attempt to improve survival, the efficacy of chemoradiation (CRT) after surgery compared to observation has been tested in several trials. Neoadjuvant CRT achieves a higher probability of margin negative R0 resection. Currently, both 5-FU and gemcitabine have been used concurrently with RT, and also targeted agents (erlotinib, cetuximab, panitumumab, bevacizumab) have been also evaluated.
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spelling doaj.art-d10f41e7de894068b69335fcc3c8e1032023-02-15T16:16:05ZengTurkiye KlinikleriJournal of Oncological Sciences2452-33642016-08-0122434710.1016/j.jons.2016.10.002Chemoradiation of pancreatic carcinomaErdinç Nayır0Ekin Ermis1Department of Medical Oncology, Kahramanmaras Necip Fazil City Hospital, 46050, Kahramanmaras, TurkeyDepartment of Radiation Oncology, Kahramanmaras Necip Fazil City Hospital, Kahramanmaras, TurkeyPancreatic carcinoma is a malignancy with a poor prognosis and the 4th. most common cause of cancer-related deaths. Patients are usually diagnosed at advanced stage of the disease. Surgical resection remains the only potentially curative therapy, as only 20% of the patients present with disease are amenable to resection. Surgery, chemotherapy, radiotherapy and palliative therapies are therapeutic options. Multidisciplinary approach is needed for every stage of the disease. Researches showed an improved survival benefit of radiotherapy (RT) and chemotherapy (CT) combination for locally advanced unresectable pancreatic carcinoma compared to RT or CT alone. In an attempt to improve survival, the efficacy of chemoradiation (CRT) after surgery compared to observation has been tested in several trials. Neoadjuvant CRT achieves a higher probability of margin negative R0 resection. Currently, both 5-FU and gemcitabine have been used concurrently with RT, and also targeted agents (erlotinib, cetuximab, panitumumab, bevacizumab) have been also evaluated.http://www.sciencedirect.com/science/article/pii/S2452336416300048Pancreatic carcinomaRadiotherapyChemotherapy
spellingShingle Erdinç Nayır
Ekin Ermis
Chemoradiation of pancreatic carcinoma
Journal of Oncological Sciences
Pancreatic carcinoma
Radiotherapy
Chemotherapy
title Chemoradiation of pancreatic carcinoma
title_full Chemoradiation of pancreatic carcinoma
title_fullStr Chemoradiation of pancreatic carcinoma
title_full_unstemmed Chemoradiation of pancreatic carcinoma
title_short Chemoradiation of pancreatic carcinoma
title_sort chemoradiation of pancreatic carcinoma
topic Pancreatic carcinoma
Radiotherapy
Chemotherapy
url http://www.sciencedirect.com/science/article/pii/S2452336416300048
work_keys_str_mv AT erdincnayır chemoradiationofpancreaticcarcinoma
AT ekinermis chemoradiationofpancreaticcarcinoma