Topics:
Radiation Oncology • Gastrointestinal Cancers
Would you consider observation instead of a Whipple in a borderline resectable pancreatic cancer patient treated with neoadj CRT who has a radiographic CR?
If the patient received neoadjuvant FOLFOX for 4 cycles then 50.4 Gy with concurrent capecitabine, is that enough treatment to omit surgery?
Answer from: Radiation Oncologist at Academic Institution
There are always many reasons for not doing a Whipple. While it is the one intervention that increases survival most significantly for this disease, it is still rarely curative in the long term and comes with surgical morbidity. Therefore patients with potentially unresectable disease, or with a bad...
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