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Do you recommend chemoradiation following neoadjuvant FOLFIRINOX for resectable pancreatic cancer?

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In resectable pancreatic cancer, do you recommend chemoradiation following neoadjuvant FOLFIRINOX?

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4 Answers
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Medical Oncology · University of Wisconsin
Answered on · Updated on

Tough question, with lots of evolution in this area in the past few years.

The data would suggest that for borderline resectable pancreatic cancer, there is a benefit in terms of OS from preoperative treatment. For unresectable disease, the small chance of conversion into resectability is worth the ...

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Medical Oncology · National Comprehensive Cancer Network
Answered on

The use of chemoradiation in resectable pancreatic cancer should not be considered the routine standard of care, but can be used strategically in borderline resectable tumors and tumors in which additional "space" is needed. While neoadjuvant therapy in pancreatic cancer is becoming more routine and...

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Medical Oncology · Regional Cancer Care Associates, LLC
Answered on · Updated on

PREOPANC trial did not prove benefits, as per the recent final report. I think it may be useful in special borderline resectable situations...

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Medical Oncology · Siri Onclogy and hematology Infusion Service
Answered on

Local radiotherapy has never added to survival in localized pancreatic cancer and is not without toxicities. Why, with a more effective regimen, would it be expected to add now?

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