Brachytherapy and pancreatic cancer

William R. Bodner, Basil S. Hilaris

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Advances in diagnostic and therapeutic technology have not appreciably changed the outlook of patients with pancreatic cancer. While those patients presenting with localized resectable disease have the best prognosis, local control and intra-abdominal metastases remain significant obstacles to survival. Localized chemoradiation has modestly improved median survival in localized and locally advanced disease. Patients presenting with locally advanced disease at diagnosis benefit from surgical palliation which includes biliary and gastric bypass. Intraoperative interstitial brachytherapy has been effective when utilized at laparotomy to improve local control in locally advanced disease. Advances in laparoscopic techniques have provided the ability to more accurately stage patients prior to laparotomy and perform palliative procedures without the need for laparotomy. The utilization of high-dose-rate brachytherapy has proven effective in palliating obstructive symptoms with minimal morbidity on an outpatient basis. Recent efforts have focused on preoperative chemoradiation to improve resectability in selected patients and prophylactic hepatic irradiation to reduce metastases for patients with locally advanced disease.

Original languageEnglish (US)
Pages (from-to)204-207
Number of pages4
JournalSeminars in Surgical Oncology
Volume13
Issue number3
DOIs
Publication statusPublished - Jan 1 1997
Externally publishedYes

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Keywords

  • adjuvant chemotherapy
  • biological tumor markers
  • brachytherapy
  • neoplasm local recurrence
  • neoplasm metastasis
  • pancreatic neoplasms/radiotherapy/surgery
  • radiation dose- response relationship
  • radioisotopes

ASJC Scopus subject areas

  • Surgery
  • Oncology

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