黄惠颖, 曹宝山. 可切除胰腺癌的围手术期治疗与全程管理[J]. 中国肿瘤临床, 2021, 48(2): 85-92. DOI: 10.3969/j.issn.1000-8179.2020.02.038
引用本文: 黄惠颖, 曹宝山. 可切除胰腺癌的围手术期治疗与全程管理[J]. 中国肿瘤临床, 2021, 48(2): 85-92. DOI: 10.3969/j.issn.1000-8179.2020.02.038
Huiying Huang, Baoshan Cao. Perioperative treatment and management of resectable pancreatic cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2021, 48(2): 85-92. DOI: 10.3969/j.issn.1000-8179.2020.02.038
Citation: Huiying Huang, Baoshan Cao. Perioperative treatment and management of resectable pancreatic cancer[J]. CHINESE JOURNAL OF CLINICAL ONCOLOGY, 2021, 48(2): 85-92. DOI: 10.3969/j.issn.1000-8179.2020.02.038

可切除胰腺癌的围手术期治疗与全程管理

Perioperative treatment and management of resectable pancreatic cancer

  • 摘要: 胰腺癌是恶性程度和致死率极高的消化道恶性肿瘤。可切除胰腺癌是指可以通过手术达到根治性切除的胰腺癌,临床研究表明辅助化疗能延长可切除胰腺癌患者的生存期,但总体预后仍不乐观。目前国内缺乏一套规范的可切除胰腺癌患者全程管理模式。本文通过对可切除胰腺癌近20年来辅助治疗、新辅助治疗、分子靶向治疗、靶向肿瘤微环境的治疗如免疫治疗和肿瘤疫苗、特殊类型可切除胰腺癌的治疗进展进行综述,以期为临床医生对可切除胰腺癌患者的全程管理提供参考。

     

    Abstract: Pancreatic cancer (PC) is a type of digestive tract cancer that is associated with high rates of malignancy and mortality. Resectable PC (RPC) is a type of PC that can be surgically resected. In recent years, clinical research has revealed that the overall survival (OS) of patients with RPC treated with adjuvant chemotherapy is prolonged. However, the overall prognosis is still not optimistic. Currently, there is no standard management protocol that is suitable for Chinese patients with RPC. Therefore, this study reviewed therapeutic strategies such as adjuvant and neoadjuvant chemotherapy; molecular-targeted therapy; new treatments targeting tumor microenvironments, including immunotherapy and tumor vaccines; and therapies targeting special types of RPC during the past 20 years to provide a standard clinical management protocol for Chinese patients with RPC.

     

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