Treatment policies of Japanese institutions for borderline resectable pancreatic cancer

  • SAHARA Yatsuka
    Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University
  • NAGAKAWA Yuichi
    Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University
  • HOSOKAWA Yuichi
    Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University
  • MURAKAMI Yoshiaki
    Department of Surgery, Institute of Biomedical and Health Sciences, Hiroshima University
  • NAGAKAWA Takukazu
    Department of Gastroenterological Surgery, Kanazawa University
  • TSUCHIDA Akihiko
    Department of Gastrointestinal and Pediatric Surgery, Tokyo Medical University

Bibliographic Information

Other Title
  • 3.Borderline resectable膵癌治療における各施設の治療方針
  • ―日本膵切研究会のアンケート調査の結果より―
  • -Results of an audit questionnaire by the Japanese Society of Pancreatic Surgery-

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Description

<p>Preoperative treatment has been implemented to improve the survival rate of borderline resectable (BR) pancreatic cancer, but specific recommendations have not been established for treatment policies. In order to grasp the current state of the treatment policy for BR pancreatic cancer in Japan, an audit questionnaire was administered to participating institutions of the Japanese Society of Pancreatic Surgery and responses were obtained from 74 institutions. Many institutions conducted preoperative treatment in both BR-A and BR-PV, but 23 institutions (33%) treated with BR-PV with upfront surgery. For preoperative treatment, 27 institutions (57%) used chemotherapy and 20 institutions (43%) used chemoradiotherapy for BR-PV. GEM+nabPTX was the most frequent chemotherapy regimen at 14 institutions, and S-1+radiation therapy or GEM+S-1+radiation therapy was utilized at 7 institutions. Preoperative treatment for BR-A pancreatic cancer was almost the same as for BR-PV. However, for BR-PV, approximately one-third of the institutions treated with upfront surgery.</p>

Journal

  • Suizo

    Suizo 33 (1), 27-36, 2018

    Japan Pancreas Society

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