White paper on pancreatic ductal adenocarcinoma from society of abdominal radiology’s disease-focused panel for pancreatic ductal adenocarcinoma: Part I, AJCC staging system, NCCN guidelines, and borderline resectable disease
| Autor: | Naveen M. Kulkarni, Jason B. Fleming, Olga R. Brook, Priya Bhosale, Erik V. Soloff, Parag Tolat, Avinash Kambadakone, Marc Zins, Guillermo Sangster, Elizabeth M. Hecht, Lorenzo Di Cesare Mannelli, Zhen J. Wang, Eric P. Tamm, Hina Arif-Tiwari |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Pancreatic ductal adenocarcinoma endocrine system diseases Radiological and Ultrasound Technology business.industry Urology General surgery Gastroenterology Cancer Disease medicine.disease Malignancy digestive system diseases 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Treatment plan Borderline resectable 030220 oncology & carcinogenesis medicine Radiology Nuclear Medicine and imaging business Survival rate AJCC staging system |
| Zdroj: | Abdominal Radiology. 45:716-728 |
| ISSN: | 2366-0058 2366-004X |
| Popis: | Pancreatic ductal adenocarcinoma (PDAC) is an aggressive gastrointestinal malignancy with a poor 5-year survival rate. Accurate staging of PDAC is an important initial step in the development of a stage-specific treatment plan. Different staging systems/consensus statements convened by different societies and academic practices are currently used. The most recent version of the American Joint Committee on Cancer (AJCC) tumor/node/metastases (TNM) staging system for PDAC has shifted its focus from guiding management to assessing prognosis. In order to preoperatively define the resectability of PDAC and to guide management, additional classification systems have been developed. The National Comprehensive Cancer Network (NCCN) guidelines, one of the most commonly used systems, provide recommendations on the management and the determination of resectability for PDAC. The NCCN divides PDAC into three categories of resectability based on tumor-vessel relationship: 'resectable,' 'borderline resectable,' and 'unresectable'. Among these, the borderline disease category is of special interest given its evolution over time and the resulting variations in the definition and the associated recommendations for management between different societies. It is important to be familiar with the evolving criteria, and treatment and follow-up recommendations for PDAC. In this article, the most current AJCC staging (8th edition), NCCN guidelines (version 2.2019-April 9, 2019), and challenges and controversies in borderline resectable PDAC are reviewed. |
| Databáze: | OpenAIRE |
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