Hoffman John P
Fox Chase Cancer Center and Temple University School of Medicine, 333 Cottman Avenue, Philadelphia, PA 19111, USA.
Surg Oncol Clin N Am. 2010 Apr;19(2):411-8. doi: 10.1016/j.soc.2009.11.007.
Neoadjuvant treatment in patients with pancreatic cancer has increased the efficiency of surgery and improved patients' response to radiotherapy. It has also been shown to expose previously occult metastatic disease and reduce the incidence of microscopically positive margins and leaks from the pancreatic-enteric anastomoses. This article focuses on the effects of the trials and studies conducted on neoadjuvant therapy and also on the hindrances and limitations that must be overcome for this therapy to gain widespread traction.
胰腺癌患者的新辅助治疗提高了手术效率,改善了患者对放疗的反应。研究还表明,新辅助治疗能够发现之前隐匿的转移病灶,降低显微镜下切缘阳性以及胰肠吻合口漏的发生率。本文重点探讨新辅助治疗相关试验和研究的效果,以及该疗法要得到广泛应用必须克服的障碍和限制。