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PANCREATIC CANCER-TREATMENT

Gastroenterology

PANCREATIC CANCER-TREATMENT

1. If the patient is a surgical candidate, the mass is in the head of the pancreas, and the cancer appears resectable, do a pancreaticoduodenectomy (Whipple resection).

2. Evaluate lymph nodes for evidence of metastasis.

3. There is a modest survival benefit (survival increased 3+ months) with specific chemoradiotherapy (especially with 5FU or gemcitabine).

4. If noninvasive workup shows that the cancer has already metastasized, avoid surgery-provide supportive care, palliative duct stenting and chemotherapy.


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REFERENCES

1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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