Department of Gastroenterology and Hepatology, Zhongshan Hospital, Shanghai Institute of Liver Disease, Fudan University, Shanghai 200032, China.
NHC Key Laboratory of Glycoconjugate Research, Department of Biochemistry and Molecular Biology, School of Basic Medical Sciences, Shanghai Medical College, Fudan University, Shanghai 200032, China.
World J Gastroenterol. 2022 Jun 14;28(22):2523-2526. doi: 10.3748/wjg.v28.i22.2523.
Pancreatic carcinoma (PC) has one of the highest rates of cancer-related death worldwide. Except for surgery, adjuvant chemotherapy, chemoradiotherapy, and immunotherapy have shown various efficacies depending on the stage of the patient. We read the review "Current and emerging therapeutic strategies in pancreatic cancer: Challenges and opportunities" and offer some opinions that may improve its precision and completeness. This review presents a map of appropriate therapies for PC at different stages. Based on the clinical trial outcomes mentioned in the review, we evaluated the potential therapeutic options for PC and helped explain the contradictory efficacy between different programmed cell death protein 1/programmed cell death ligand 1 clinical trials, which may have resulted from the unique features of PC. Although R0 resection and adjuvant chemotherapy are still the gold standards for PC, new modalities, with or without clinical validation, are needed to establish more specific and precise treatments for PC.
胰腺癌(PC)是全球癌症相关死亡率最高的癌症之一。除了手术,辅助化疗、放化疗和免疫疗法根据患者的分期显示出不同的疗效。我们阅读了综述“胰腺癌的当前和新兴治疗策略:挑战与机遇”,并提出了一些可能提高其准确性和完整性的意见。该综述为不同阶段的 PC 提供了适当治疗方法的图谱。基于综述中提到的临床试验结果,我们评估了 PC 的潜在治疗选择,并帮助解释了不同程序性细胞死亡蛋白 1/程序性细胞死亡配体 1 临床试验之间疗效的矛盾,这可能是由于 PC 的独特特征所致。虽然 R0 切除和辅助化疗仍然是 PC 的金标准,但需要新的方法,无论是否有临床验证,以建立更具体和精确的 PC 治疗方法。