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pancreatic cancer: A review of clinical diagnosis, epidemiology, treatment and outcomes

World Journal of Gastroenterology 2018年第43期24卷 4846-4861页

作者： Andrew McGuigan Paul Kelly Richard C Turkington Claire Jones Helen G Coleman R Stephen McCain Centre for cancer Research and Cell Biology Queen’s University Belfast Department of Pathology Royal Victoria HospitalBelfast Department of Hepatobiliary Surgery Mater Hospital Centre for Public Health Queen’s University Belfast

This review aims to outline the most up-to-date knowledge of pancreatic adenocarcinoma risk, diagnostics, treatment and outcomes, while identifying gaps that aim to stimulate further research in this understudied malignancy. pancreatic adenocarcinoma is a lethal condition with a rising incidence, predicted to become the second leading cause of cancer death in some regions. It often presents at an advanced stage, which contributes to poor five-year survival rates of 2%-9%, ranking firmly last amongst all cancer sites in terms of prognostic outcomes for patients. Better understanding of the risk factors and symptoms associated with this disease is essential to inform both health professionals and the general population of potential preventive and/or early detection measures. The identification of high-risk patients who could benefit from screening to detect pre-malignant conditions such as pancreatic intraepithelial neoplasia, intraductal papillary mucinous neoplasms and mucinous cystic neoplasms is urgently required, however an acceptable screening test has yet to be identified. The management of pancreatic adenocarcinoma is evolving, with the introduction of new surgical techniques and medical therapies such as laparoscopic techniques and neo-adjuvant chemoradiotherapy, however this has only led to modest improvements in outcomes. The identification of novel biomarkers is desirable to move towards a precision medicine era, where pancreatic cancer therapy can be tailored to the individual patient, while unnecessary treatments that have negative consequences on quality of life could be prevented for others. Research efforts must also focus on the development of new agents and delivery systems. Overall, considerable progress is required to reduce the burden associated with pancreatic cancer. Recent, renewed efforts to fund large consortia and research into pancreatic adenocarcinoma are welcomed, but further streams will be necessary to facilitate the momentum needed to

关键词： pancreatic cancer pancreatic adenocarcinoma pancreatic cancer risk factors pancreatic cancer treatment

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pancreatic cancer in 2021:What you need to know to win

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World Journal of Gastroenterology 2021年第35期27卷 5851-5889页

作者： Valeria Tonini Manuel Zanni Department of Medical Sciences and Surgery University of Bologna-Emergency Surgery UnitIRCCS Sant’Orsola HospitalBologna 40121Italy University of Bologna Emergency Surgery UnitIRCCS Sant'Orsola HospitalBologna 40121Italy

pancreatic cancer is one of the solid tumors with the worst ***-year survival rate is less than 10%.Surgical resection is the only potentially curative treatment,but the tumor is often diagnosed at an advanced stage of the disease and surgery could be performed in a very limited number of ***,surgery is still associated with high post-operative morbidity,while other therapies still offer very disappointing *** article reviews every aspect of pancreatic cancer,focusing on the elements that can improve *** was written with the aim of describing everything you need to know in 2021 in order to face this difficult challenge.

关键词： pancreatic cancer treatment Advanced pancreatic cancer Metastatic pancreatic cancer pancreatic cancer surgery pancreatic cancer chemotherapy pancreatic cancer screening

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