J Natl Compr Canc Netw. 2017 Aug;15(8):1028-1061. doi: 10.6004/jnccn.2017.0131.
Ductal adenocarcinoma and its variants account for most pancreatic malignancies. High-quality multiphase imaging can help to preoperatively distinguish between patients eligible for resection with curative intent and those with unresectable disease. Systemic therapy is used in the neoadjuvant or adjuvant pancreatic cancer setting, as well as in the management of locally advanced unresectable and metastatic disease. Clinical trials are critical for making progress in treatment of pancreatic cancer. The NCCN Guidelines for Pancreatic Adenocarcinoma focus on diagnosis and treatment with systemic therapy, radiation therapy, and surgical resection.
导管腺癌及其变异型占大多数胰腺恶性肿瘤。高质量的多期成像有助于术前区分有根治性切除适应证的患者和不可切除疾病的患者。新辅助或辅助胰腺癌治疗以及局部晚期不可切除和转移性疾病的治疗中使用全身治疗。临床试验对于胰腺癌治疗的进展至关重要。NCCN 胰腺腺癌指南侧重于系统治疗、放射治疗和手术切除的诊断和治疗。