Perioperative Therapy for Surgically Resectable Pancreatic Adenocarcinoma

Hematol Oncol Clin North Am. 2015 Aug;29(4):717-26. doi: 10.1016/j.hoc.2015.04.011. Epub 2015 May 30.

Abstract

It is estimated that 10% to 20% of patients with pancreatic cancer present with resectable disease. Although surgery offers curative intent, the median survival after curative resection is less than 2 years. To improve clinical outcomes in this patient population, clinical studies have investigated the role of perioperative therapy, including neoadjuvant and adjuvant treatment in resectable pancreatic cancer. The role of adjuvant therapy has been well established by large randomized phase III studies, whereas benefit of the neoadjuvant approach remains inconclusive. Here, we review various treatment modalities and their clinical benefits in resectable pancreatic cancer.

Keywords: Adjuvant therapy; Neoadjuvant therapy; Predictive biomarkers; Resectable pancreatic cancer; hENT1.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Adenocarcinoma / drug therapy*
  • Adenocarcinoma / mortality
  • Adenocarcinoma / surgery*
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Biomarkers, Tumor / metabolism
  • Chemotherapy, Adjuvant / methods
  • Clinical Trials, Phase III as Topic
  • Disease-Free Survival
  • Equilibrative Nucleoside Transporter 1 / metabolism
  • Humans
  • Neoadjuvant Therapy / methods*
  • Pancreatic Neoplasms / drug therapy*
  • Pancreatic Neoplasms / mortality
  • Pancreatic Neoplasms / surgery*
  • Perioperative Period
  • Predictive Value of Tests

Substances

  • Biomarkers, Tumor
  • Equilibrative Nucleoside Transporter 1
  • SLC29A1 protein, human