Experts’ consensus on intraoperative radiotherapy for pancreatic cancer
Pancreatic cancer (PC), one of the most lethal malignancies, accounts for 8%–10% of digestive system cancers, and the incidence is increasing. Surgery, chemotherapy, and radiotherapy have been the main treatment methods but are not very effective. However, only 20% of patients have the opportunity t...
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Published in | Cancer letters Vol. 449; pp. 1 - 7 |
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Main Authors | , , , , , , , , , , , , , , , , |
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Abstract | Pancreatic cancer (PC), one of the most lethal malignancies, accounts for 8%–10% of digestive system cancers, and the incidence is increasing. Surgery, chemotherapy, and radiotherapy have been the main treatment methods but are not very effective. However, only 20% of patients have the opportunity to undergo surgical operation. Approximately 30–40% of patients present with locally advanced, unresectable pancreatic cancer because of invasion of mesenteric vessels or adjacent organs.
The first patient with unresectable pancreatic cancer was treated with Intraoperative radiotherapy (IORT) in 1959 [1]. Since then, new surgical and radiotherapeutic techniques have been developed, clinical trials have provided new evidence, and intriguing long-term effects have emerged from global metadatabases. IORT has the advantages of more accurate target, better local control rate, less complications, longer survival time and better life quality. During the past decade, IORT has been applied in some hospitals in the world, but there is little agreement on technical details and standards. A guidelines of IORT in pancreatic cancer is therefore necessary and timely. To develop standardized criteria for the application of IORT in pancreatic cancer, the experts from China to discuss treatment methods and arrive at a consensus on the indications, contraindications, and preferred techniques of IORT in pancreatic cancer. This detailed and agreed technical description of IORT may have implications on training, assessment, quality control, and future research. |
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AbstractList | Pancreatic cancer (PC), one of the most lethal malignancies, accounts for 8%-10% of digestive system cancers, and the incidence is increasing. Surgery, chemotherapy, and radiotherapy have been the main treatment methods but are not very effective. However, only 20% of patients have the opportunity to undergo surgical operation. Approximately 30-40% of patients present with locally advanced, unresectable pancreatic cancer because of invasion of mesenteric vessels or adjacent organs. The first patient with unresectable pancreatic cancer was treated with Intraoperative radiotherapy (IORT) in 1959 [1]. Since then, new surgical and radiotherapeutic techniques have been developed, clinical trials have provided new evidence, and intriguing long-term effects have emerged from global metadatabases. IORT has the advantages of more accurate target, better local control rate, less complications, longer survival time and better life quality. During the past decade, IORT has been applied in some hospitals in the world, but there is little agreement on technical details and standards. A guidelines of IORT in pancreatic cancer is therefore necessary and timely. To develop standardized criteria for the application of IORT in pancreatic cancer, the experts from China to discuss treatment methods and arrive at a consensus on the indications, contraindications, and preferred techniques of IORT in pancreatic cancer. This detailed and agreed technical description of IORT may have implications on training, assessment, quality control, and future research. Pancreatic cancer (PC), one of the most lethal malignancies, accounts for 8%–10% of digestive system cancers, and the incidence is increasing. Surgery, chemotherapy, and radiotherapy have been the main treatment methods but are not very effective. However, only 20% of patients have the opportunity to undergo surgical operation. Approximately 30–40% of patients present with locally advanced, unresectable pancreatic cancer because of invasion of mesenteric vessels or adjacent organs. The first patient with unresectable pancreatic cancer was treated with Intraoperative radiotherapy (IORT) in 1959 [1]. Since then, new surgical and radiotherapeutic techniques have been developed, clinical trials have provided new evidence, and intriguing long-term effects have emerged from global metadatabases. IORT has the advantages of more accurate target, better local control rate, less complications, longer survival time and better life quality. During the past decade, IORT has been applied in some hospitals in the world, but there is little agreement on technical details and standards. A guidelines of IORT in pancreatic cancer is therefore necessary and timely. To develop standardized criteria for the application of IORT in pancreatic cancer, the experts from China to discuss treatment methods and arrive at a consensus on the indications, contraindications, and preferred techniques of IORT in pancreatic cancer. This detailed and agreed technical description of IORT may have implications on training, assessment, quality control, and future research. |
Author | Li, Guang Shi, Susheng Li, Yexiong Che, Xu Chen, Yingtai Wang, Jing Zheng, Lei Feng, Qinfu Zhang, Jianwei Dai, Menghua Zhang, Zhihui Jin, Jing Wu, Xiuhong Li, Fei Wang, Chengfeng Chen, Rufu Li, Shengping |
Author_xml | – sequence: 1 givenname: Yexiong surname: Li fullname: Li, Yexiong organization: National Cancer Center, China and Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, China – sequence: 2 givenname: Qinfu surname: Feng fullname: Feng, Qinfu organization: National Cancer Center, China and Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, China – sequence: 3 givenname: Jing surname: Jin fullname: Jin, Jing organization: National Cancer Center, China and Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, China – sequence: 4 givenname: Susheng surname: Shi fullname: Shi, Susheng organization: National Cancer Center, China and Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, China – sequence: 5 givenname: Zhihui surname: Zhang fullname: Zhang, Zhihui organization: National Cancer Center, China and Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, China – sequence: 6 givenname: Xu surname: Che fullname: Che, Xu organization: National Cancer Center, China and Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, China – sequence: 7 givenname: Jianwei surname: Zhang fullname: Zhang, Jianwei organization: National Cancer Center, China and Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, China – sequence: 8 givenname: Yingtai surname: Chen fullname: Chen, Yingtai organization: National Cancer Center, China and Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, China – sequence: 9 givenname: Xiuhong surname: Wu fullname: Wu, Xiuhong organization: National Cancer Center, China and Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, China – sequence: 10 givenname: Rufu surname: Chen fullname: Chen, Rufu organization: Sun Yat-sen Memorial Hospital, Sun Yat-sen University, China – sequence: 11 givenname: Shengping surname: Li fullname: Li, Shengping organization: Sun Yat-sen University Cancer Center, China – sequence: 12 givenname: Jing surname: Wang fullname: Wang, Jing organization: Chinese PLA General Hospital, China – sequence: 13 givenname: Guang surname: Li fullname: Li, Guang organization: The First Hospital of China Medical University, China – sequence: 14 givenname: Fei surname: Li fullname: Li, Fei organization: Xuanwu Hospital Capital Medical University, China – sequence: 15 givenname: Menghua surname: Dai fullname: Dai, Menghua organization: Peking Union Medical College Hospital, China – sequence: 16 givenname: Lei surname: Zheng fullname: Zheng, Lei organization: The Johns Hopkins University, China – sequence: 17 givenname: Chengfeng surname: Wang fullname: Wang, Chengfeng email: wangchengfeng62@163.com organization: National Cancer Center, China and Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, China |
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Keywords | Pancreatic cancer IORT |
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Snippet | Pancreatic cancer (PC), one of the most lethal malignancies, accounts for 8%–10% of digestive system cancers, and the incidence is increasing. Surgery,... Pancreatic cancer (PC), one of the most lethal malignancies, accounts for 8%-10% of digestive system cancers, and the incidence is increasing. Surgery,... |
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SubjectTerms | Cancer therapies Chemotherapy China Clinical trials Complications Conflicts of interest Consensus Digestive system Drug dosages Herbal medicine Humans Intraoperative Care - standards IORT Liver Long-term effects Malnutrition Medical prognosis Metastasis Morbidity Mortality Organs Pain Pancreatic cancer Pancreatic Neoplasms - radiotherapy Patients Practice Guidelines as Topic Quality control Quality of Life Radiation therapy Surgery Tumors |
Title | Experts’ consensus on intraoperative radiotherapy for pancreatic cancer |
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