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- W2359165729 abstract "The prognosis of patients with pancreatic cancer is dismal, especially at the advanced stage of the disease. Surgery is considered as the only curative treatment modality for pancreatic cancer; however, less than 20% of patients are candidates for curative surgical resection. Multidisciplinary management, including radiation therapy with concurrent chemotherapy, followed by systemic chemotherapy, is the treatment of choice for locally advanced pancreatic cancer. An early phase III clinical trial conducted by GITSG (GI Tumor Study Group) has demonstrated a survival benefit for concurrent chemoradiation as compared to radiation alone in locally advanced disease. 5-FU, capacitabine and gemcitabine are the most investigated chemotherapy agents used with radiation. Currently the combined use of gemcitabine and radiation therapy is under active investigation, and may provide substantial clinical advantage over other regimens. Multi-agent chemotherapy regimen used in concurrence with radiation has not demonstrated any significant effect but with severe toxicities. Conformal radiotherapy should be routinely used to treat locally advanced pancreatic cancer with doses of 45-50.4 Gy. The target of locally advanced pancreatic cancer is focussed on the gross tumor with safe margins. The use of IMRT is highly recommended for unresectable tumor, and makes further dose escalation possible." @default.
- W2359165729 created "2016-06-24" @default.
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- W2359165729 date "2009-01-01" @default.
- W2359165729 modified "2023-10-03" @default.
- W2359165729 title "The multidisciplinary treatment of locally advanced pancreatic cancer" @default.
- W2359165729 hasPublicationYear "2009" @default.
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