Borderline Resectable Pancreatic Cancer: The Importance of This Emerging Stage of Disease
Background Patients with borderline resectable pancreatic adenocarcinoma (PA) include those with localized disease who have tumor or patient characteristics that preclude immediate surgery. There is no optimal treatment schema for this distinct stage of disease, so the role of surgery is undefined....
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Published in | Journal of the American College of Surgeons Vol. 206; no. 5; pp. 833 - 846 |
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Main Authors | , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Elsevier Inc
01.05.2008
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Subjects | |
Online Access | Get full text |
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Abstract | Background Patients with borderline resectable pancreatic adenocarcinoma (PA) include those with localized disease who have tumor or patient characteristics that preclude immediate surgery. There is no optimal treatment schema for this distinct stage of disease, so the role of surgery is undefined. Study Design We defined patients with borderline resectable PA as fitting into one of three distinct groups. Group A comprised patients with tumor abutment of the visceral arteries or short-segment occlusion of the Superior Mesenteric Vein. In group B, patients had findings suggestive but not diagnostic of metastasis. Group C patients were of marginal performance status. Patients were treated initially with chemotherapy, chemoradiation, or both; those of sufficient performance status who completed preoperative therapy without disease progression were considered for surgery. Results Between October 1999 and August 2006, 160 (7%) of 2,454 patients with PA were classified as borderline resectable. Of these, 125 (78%) completed preoperative therapy and restaging, and 66 (41%) underwent pancreatectomy. Vascular resection was required in 18 (27%) of 66 patients, and 62 (94%) underwent a margin-negative pancreatectomy. A partial pathologic response to induction therapy (< 50% viable tumor) was seen in 37 (56%) of 66 patients. Median survival was 40 months for the 66 patients who completed all therapy and 13 months for the 94 patients who did not undergo pancreatectomy (p < 0.001). Conclusions This is the first large report of borderline resectable PA and includes objective definitions for this stage of disease. Our neoadjuvant approach allowed for identification of the marked subset of patients that was most likely to benefit from surgery, as evidenced by the favorable median survival in this group. |
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AbstractList | Background Patients with borderline resectable pancreatic adenocarcinoma (PA) include those with localized disease who have tumor or patient characteristics that preclude immediate surgery. There is no optimal treatment schema for this distinct stage of disease, so the role of surgery is undefined. Study Design We defined patients with borderline resectable PA as fitting into one of three distinct groups. Group A comprised patients with tumor abutment of the visceral arteries or short-segment occlusion of the Superior Mesenteric Vein. In group B, patients had findings suggestive but not diagnostic of metastasis. Group C patients were of marginal performance status. Patients were treated initially with chemotherapy, chemoradiation, or both; those of sufficient performance status who completed preoperative therapy without disease progression were considered for surgery. Results Between October 1999 and August 2006, 160 (7%) of 2,454 patients with PA were classified as borderline resectable. Of these, 125 (78%) completed preoperative therapy and restaging, and 66 (41%) underwent pancreatectomy. Vascular resection was required in 18 (27%) of 66 patients, and 62 (94%) underwent a margin-negative pancreatectomy. A partial pathologic response to induction therapy (< 50% viable tumor) was seen in 37 (56%) of 66 patients. Median survival was 40 months for the 66 patients who completed all therapy and 13 months for the 94 patients who did not undergo pancreatectomy (p < 0.001). Conclusions This is the first large report of borderline resectable PA and includes objective definitions for this stage of disease. Our neoadjuvant approach allowed for identification of the marked subset of patients that was most likely to benefit from surgery, as evidenced by the favorable median survival in this group. Patients with borderline resectable pancreatic adenocarcinoma (PA) include those with localized disease who have tumor or patient characteristics that preclude immediate surgery. There is no optimal treatment schema for this distinct stage of disease, so the role of surgery is undefined. We defined patients with borderline resectable PA as fitting into one of three distinct groups. Group A comprised patients with tumor abutment of the visceral arteries or short-segment occlusion of the Superior Mesenteric Vein. In group B, patients had findings suggestive but not diagnostic of metastasis. Group C patients were of marginal performance status. Patients were treated initially with chemotherapy, chemoradiation, or both; those of sufficient performance status who completed preoperative therapy without disease progression were considered for surgery. Between October 1999 and August 2006, 160 (7%) of 2,454 patients with PA were classified as borderline resectable. Of these, 125 (78%) completed preoperative therapy and restaging, and 66 (41%) underwent pancreatectomy. Vascular resection was required in 18 (27%) of 66 patients, and 62 (94%) underwent a margin-negative pancreatectomy. A partial pathologic response to induction therapy (< 50% viable tumor) was seen in 37 (56%) of 66 patients. Median survival was 40 months for the 66 patients who completed all therapy and 13 months for the 94 patients who did not undergo pancreatectomy (p < 0.001). This is the first large report of borderline resectable PA and includes objective definitions for this stage of disease. Our neoadjuvant approach allowed for identification of the marked subset of patients that was most likely to benefit from surgery, as evidenced by the favorable median survival in this group. BACKGROUNDPatients with borderline resectable pancreatic adenocarcinoma (PA) include those with localized disease who have tumor or patient characteristics that preclude immediate surgery. There is no optimal treatment schema for this distinct stage of disease, so the role of surgery is undefined.STUDY DESIGNWe defined patients with borderline resectable PA as fitting into one of three distinct groups. Group A comprised patients with tumor abutment of the visceral arteries or short-segment occlusion of the Superior Mesenteric Vein. In group B, patients had findings suggestive but not diagnostic of metastasis. Group C patients were of marginal performance status. Patients were treated initially with chemotherapy, chemoradiation, or both; those of sufficient performance status who completed preoperative therapy without disease progression were considered for surgery.RESULTSBetween October 1999 and August 2006, 160 (7%) of 2,454 patients with PA were classified as borderline resectable. Of these, 125 (78%) completed preoperative therapy and restaging, and 66 (41%) underwent pancreatectomy. Vascular resection was required in 18 (27%) of 66 patients, and 62 (94%) underwent a margin-negative pancreatectomy. A partial pathologic response to induction therapy (< 50% viable tumor) was seen in 37 (56%) of 66 patients. Median survival was 40 months for the 66 patients who completed all therapy and 13 months for the 94 patients who did not undergo pancreatectomy (p < 0.001).CONCLUSIONSThis is the first large report of borderline resectable PA and includes objective definitions for this stage of disease. Our neoadjuvant approach allowed for identification of the marked subset of patients that was most likely to benefit from surgery, as evidenced by the favorable median survival in this group. |
Author | Evans, Douglas B., MD, FACS Pisters, Peter W.T., MD, FACS Wolff, Robert A., MD Lee, Jeffrey E., MD, FACS Crane, Christopher H., MD Fleming, Jason B., MD, FACS Varadhachary, Gauri R., MD Hwang, Rosa F., MD Abdalla, Eddie K., MD, FACS Katz, Matthew H.G., MD Vauthey, J. Nicolas, MD, FACS Sun, Charlotte C., DrPH, MPH |
AuthorAffiliation | 2 Department of Gynecologic Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, Texas 77030 3 Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, Texas 77030 1 Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, Texas 77030 4 Department of Gastrointestinal Medical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, Texas 77030 |
AuthorAffiliation_xml | – name: 1 Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, Texas 77030 – name: 2 Department of Gynecologic Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, Texas 77030 – name: 3 Department of Radiation Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, Texas 77030 – name: 4 Department of Gastrointestinal Medical Oncology, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, Texas 77030 |
Author_xml | – sequence: 1 fullname: Katz, Matthew H.G., MD – sequence: 2 fullname: Pisters, Peter W.T., MD, FACS – sequence: 3 fullname: Evans, Douglas B., MD, FACS – sequence: 4 fullname: Sun, Charlotte C., DrPH, MPH – sequence: 5 fullname: Lee, Jeffrey E., MD, FACS – sequence: 6 fullname: Fleming, Jason B., MD, FACS – sequence: 7 fullname: Vauthey, J. Nicolas, MD, FACS – sequence: 8 fullname: Abdalla, Eddie K., MD, FACS – sequence: 9 fullname: Crane, Christopher H., MD – sequence: 10 fullname: Wolff, Robert A., MD – sequence: 11 fullname: Varadhachary, Gauri R., MD – sequence: 12 fullname: Hwang, Rosa F., MD |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/18471707$$D View this record in MEDLINE/PubMed |
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References | Evans, Lee, Tamm, Pisters (bib6) 2007 Oken, Creech, Tormey (bib5) 1982; 5 Tseng, Raut, Lee (bib9) 2004; 8 (bib12) 2002 Wolff, Crane, Li (bib2) 2006 Pisters, Hudec, Hess (bib10) 2001; 234 Evans, Rich, Byrd (bib13) 1992; 127 Yen, Abdalla, Pisters, Evans (bib8) 2005 Staley, Cleary, Abbruzzese (bib11) 1996; 12 Raut, Tseng, Sun (bib1) 2007; 246 bib3 Varadhachary, Tamm, Abbruzzese (bib4) 2006; 13 Gallagher, Zervos, Murr (bib7) 2005 |
References_xml | – start-page: 299 year: 2005 end-page: 312 ident: bib8 article-title: Pancreaticoduodenectomy publication-title: Pancreatic cancer contributor: fullname: Evans – volume: 13 start-page: 1035 year: 2006 end-page: 1046 ident: bib4 article-title: Borderline resectable pancreatic cancer: definitions, management, and role of preoperative therapy publication-title: Ann Surg Oncol contributor: fullname: Abbruzzese – volume: 127 start-page: 1335 year: 1992 end-page: 1339 ident: bib13 article-title: Preoperative chemoradiation and pancreaticoduodenectomy for adenocarcinoma of the pancreas publication-title: Arch Surg contributor: fullname: Byrd – volume: 5 start-page: 649 year: 1982 end-page: 655 ident: bib5 article-title: Toxicity and response criteria of the Eastern Cooperative Oncology Group publication-title: Am J Clin Oncol contributor: fullname: Tormey – start-page: 299 year: 2005 end-page: 312 ident: bib7 article-title: Distal pancreatectomy publication-title: Pancreatic cancer contributor: fullname: Murr – volume: 234 start-page: 47 year: 2001 end-page: 55 ident: bib10 article-title: Effect of preoperative biliary decompression on pancreaticoduodenectomy-associated morbidity in 300 consecutive patients publication-title: Ann Surg contributor: fullname: Hess – ident: bib3 article-title: National Comprehensive Cancer Network (NCCN) clinical practice guidelines in oncology – start-page: 157 year: 2002 end-page: 164 ident: bib12 article-title: Exocrine pancreas publication-title: AJCC cancer staging manual – start-page: 1331 year: 2006 end-page: 1358 ident: bib2 article-title: Neoplasms of the exocrine pancreas publication-title: Cancer medicine contributor: fullname: Li – volume: 246 start-page: 52 year: 2007 end-page: 60 ident: bib1 article-title: Impact of resection status on pattern of failure and survival after pancreaticoduodenectomy for pancreatic adenocarcinoma publication-title: Ann Surg contributor: fullname: Sun – volume: 8 start-page: 935 year: 2004 end-page: 949 ident: bib9 article-title: Pancreaticoduodenectomy with vascular resection: margin status and survival duration publication-title: J Gastrointest Surg contributor: fullname: Lee – start-page: 1299 year: 2007 end-page: 1317 ident: bib6 article-title: Pancreaticoduodenectomy (Whipple operation) and total pancreatectomy for cancer publication-title: Mastery of surgery contributor: fullname: Pisters – volume: 12 start-page: 373 year: 1996 end-page: 380 ident: bib11 article-title: The need for standardized pathologic staging of pancreaticoduodenectomy specimens publication-title: Pancreas contributor: fullname: Abbruzzese |
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Snippet | Background Patients with borderline resectable pancreatic adenocarcinoma (PA) include those with localized disease who have tumor or patient characteristics... Patients with borderline resectable pancreatic adenocarcinoma (PA) include those with localized disease who have tumor or patient characteristics that preclude... BACKGROUNDPatients with borderline resectable pancreatic adenocarcinoma (PA) include those with localized disease who have tumor or patient characteristics... |
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SubjectTerms | Adenocarcinoma - classification Adenocarcinoma - pathology Adenocarcinoma - surgery Adenocarcinoma - therapy Adult Aged Aged, 80 and over Antineoplastic Agents - administration & dosage Female Humans Male Middle Aged Neoadjuvant Therapy Neoplasm Staging Pancreatectomy Pancreatic Neoplasms - classification Pancreatic Neoplasms - pathology Pancreatic Neoplasms - surgery Pancreatic Neoplasms - therapy Radiotherapy Surgery |
Title | Borderline Resectable Pancreatic Cancer: The Importance of This Emerging Stage of Disease |
URI | https://www.clinicalkey.es/playcontent/1-s2.0-S1072751507019813 https://dx.doi.org/10.1016/j.jamcollsurg.2007.12.020 https://www.ncbi.nlm.nih.gov/pubmed/18471707 https://www.proquest.com/docview/69205131/abstract/ https://pubmed.ncbi.nlm.nih.gov/PMC5901743 |
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