Neoadjuvant Chemotherapy Efficacy and Safety in Borderline Resectable Pancreatic Cancer

نویسندگان

چکیده

The current study was designed to investigate the safety and effectiveness of neoadjuvant therapy in patients with borderline resectable pancreatic cancer. a retrospective case control propensity score similarity. From January 2017 June 2022, data regarding 70 who had received radical resection cancer at department hepatobiliary surgery first affiliated hospital Huzhou university acquired. group consisted 35 underwent before surgery. Patients extensive surgical were included directly. effect evaluated operation serum tumor markers carcinoembryonic antigen, antigen 125 19-9 levels compared after therapy. Comparative analyses perioperative variables, postoperative pathological symptoms complications performed between both groups. Among without complete remission or progressive disease therapy, 13 cases (37.14 %) as partial response 22 (62.86 assessed stable disease. After 19-9, indexes revealed significant (all p<0.05) downward trend. There no statistically differences p>0.05) two groups type, duration, intraoperative blood loss, number requiring transfusion, stay. Neoadjuvant treatment patient’s diameters removed lymph nodes significantly less (p<0.05) than those their R0 rates greater group. substantial variation frequency (p>0.05). Preoperative for minimally can lower marker levels. Moreover, it produce specific curative impact raising risk boosting rate, which is safe appropriate.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Neoadjuvant Therapy for Resectable and Borderline Resectable Pancreatic Cancer

The majority of patients with localized pancreatic cancer (PC) who undergo surgery followed by adjuvant therapy will develop metastatic disease, suggesting that surgery alone is not sufficient for cure and micrometastases are present even when are not clinically detected. As such, the delivery of early systemic therapy may be a rational alternative to a surgery-first approach, in an effort to p...

متن کامل

Preoperative Biliary Drainage in Cases of Borderline Resectable Pancreatic Cancer Treated with Neoadjuvant Chemotherapy and Surgery

Objective. To elucidate the optimum preoperative biliary drainage method for patients with pancreatic cancer treated with neoadjuvant chemotherapy (NAC). Material and Methods. From January 2010 through December 2014, 20 patients with borderline resectable pancreatic cancer underwent preoperative biliary drainage and NAC with a plastic or metallic stent and received NAC at Hiroshima University H...

متن کامل

Neoadjuvant GTX chemotherapy and IMRT-based chemoradiation for borderline resectable pancreatic cancer.

BACKGROUND AND OBJECTIVES To improve the likelihood of achieving a margin-free resection, neoadjuvant induction chemotherapy with GTX (gemcitabine, docetaxel, and capecitabine) followed by 5-FU-IMRT was administered to patients with borderline resectable pancreatic cancer. The utility of computed tomography (CT), endoscopic ultrasound (EUS), positron emission tomography (PET), and CA 19-9 durin...

متن کامل

Borderline resectable pancreatic cancer.

Rigorous criteria to define "borderline resectable" pancreatic cancer are required for appropriate patient accrual into clinical trials that examine the utility of chemotherapy and/or chemoradiation that will be delivered prior to pancreatic resection for exocrine cancer. At our institution, tumor abutment of less than or equal to 180 degrees (< or = 50% of the vessel circumference) of the supe...

متن کامل

Comments on--Neoadjuvant Chemo-radiation with IMRT in Resectable and Borderline Resectable Pancreatic Cancer.

We read with interest the article by Kharofa et al (2014) about the neoadjuvant chemo-radiation with IMRT in resectable and borderline resectable (BLR) pancreatic cancer. It is encouraging to see that patients with borderline resectable disease who are successfully down staged by neoadjuvant chemoradiation, had improved rate of R0 resection and resulted in improved loco-regional control and the...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: Indian Journal of Pharmaceutical Sciences

سال: 2023

ISSN: ['0250-474X', '1998-3743']

DOI: https://doi.org/10.36468/pharmaceutical-sciences.spl.613