胰腺癌治疗进展英文.pptVIP

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * PV SMA SV SMV IMV LRV LGA SA HA Pancreas Adrenal Downstaging of PaCa Survival 25+ survivors 5-17 years Observed five-year survival rate: 28% 13 more close to 5 yrs with no recurrence Possible five year survival rate: 53% Adjuvant Therapy Treatment given after surgery (Whipple/distal) Effort to eradicate any remaining microscopic tumor Standard approach Neoadjuvant Therapy Treatment given before surgery in pts with resectable disease (Stage I and II) Some in USA recommend this instead of surgery first Advantages and disadvanta