Journal ArticleDOI
Pattern of lymph node metastasis spread in pancreatic cancer.
Mitsuro Kanda,Tsutomu Fujii,Shunji Nagai,Yasuhiro Kodera,Akiyuki Kanzaki,Tevfik Tolga Sahin,Masamichi Hayashi,Suguru Yamada,Hiroyuki Sugimoto,Shuji Nomoto,Shin Takeda,Satoshi Morita,Akimasa Nakao +12 more
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TLDR
Aggressive multimodality therapy, including neoadjuvant therapy, is essential to improve the long-term survival of patients at substantial risk of distant LN metastasis, via a complex pathway and developed into systemic disease.Abstract:
Objectives:We aimed to clarify the detailed pattern of lymph node (LN) metastasis spread in patients with pancreatic cancer.Methods:This retrospective study enrolled 429 patients who underwent pancreatectomy with extended lymphadenectomy for pancreatic cancer. The prognostic implications of LN metasread more
Citations
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Only women with symptoms need to have their breast implants removed, says government
Journal ArticleDOI
Definition of a standard lymphadenectomy in surgery for pancreatic ductal adenocarcinoma: a consensus statement by the International Study Group on Pancreatic Surgery (ISGPS).
Johanna A. M. G. Tol,Dirk J. Gouma,Claudio Bassi,Christos Dervenis,Marco Montorsi,Mustapha Adham,Åke Andrén-Sandberg,Horacio J. Asbun,Maximilian Bockhorn,Markus W. Büchler,Kevin C. Conlon,Laureano Fernández-Cruz,Abe Fingerhut,Abe Fingerhut,Helmut Friess,Werner Hartwig,Jakob R. Izbicki,Keith D. Lillemoe,Miroslav Milicevic,John P. Neoptolemos,Shailesh V. Shrikhande,Charles M. Vollmer,Charles J. Yeo,Richard Charnley +23 more
TL;DR: Standard lymphadenectomy for pancreatoduodenectomy should strive to resect Ln stations no. 5, 6, 8a, 12b1,12b2, 12c, 13a, 13b, 14a, 14b, 17a, and 17b, for cancers of the body and tail of the pancreas, removal of stations 10, 11, and 18 is standard.
Journal ArticleDOI
Radical surgery of oligometastatic pancreatic cancer.
T. Hackert,Willem Niesen,Ulf Hinz,Christine Tjaden,Oliver Strobel,Alexis Ulrich,Christoph W. Michalski,Markus W. Büchler +7 more
TL;DR: The present collective is the largest series of resected metastatic PDAC and shows that resection of liver or ILN metastases can be done safely and should be considered as it may be superior to palliative treatment, and it is associated with long-term survival of 10% in selected patients.
Journal ArticleDOI
Substaging of Lymph Node Status in Resected Pancreatic Ductal Adenocarcinoma Has Strong Prognostic Correlations: Proposal for a Revised N Classification for TNM Staging.
Olca Basturk,Olca Basturk,Burcu Saka,Serdar Balci,Lauren M. Postlewait,Jessica H. Knight,Michael Goodman,David A. Kooby,Juan M. Sarmiento,Bassel F. El-Rayes,Hye-Jeong Choi,Pelin Bagci,Alyssa M. Krasinskas,Brian Quigley,Michelle D. Reid,Gizem Akkas,Shishir K. Maithel,Volkan Adsay +17 more
TL;DR: Substaging of LN metastasis has significant prognostic value and needs to be considered in the N staging of PDACs, and the protocol already in use for other upper GI tract organs, which currently also is proven significant for ampulla, would be preferable.
Journal ArticleDOI
M2-polarized tumor-associated macrophage infiltration of regional lymph nodes is associated with nodal lymphangiogenesis and occult nodal involvement in pN0 pancreatic cancer.
Hiroshi Kurahara,Sonshin Takao,Kosei Maemura,Yuko Mataki,Taisaku Kuwahata,Koki Maeda,Masahiko Sakoda,Satoshi Iino,Sumiya Ishigami,Shinichi Ueno,Hiroyuki Shinchi,Shoji Natsugoe +11 more
TL;DR: In this article, the authors investigated the relationship of M2-polarized TAM infiltration of the RLNs, nodal lymphangiogenesis, and occult nodal involvement in pN0 pancreatic cancer.
References
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Journal ArticleDOI
Cancer statistics, 2007.
TL;DR: While the absolute number of cancer deaths decreased for the second consecutive year in the United States, much progress has been made in reducing mortality rates and improving survival, cancer still accounts for more deaths than heart disease in persons under age 85 years.
Journal ArticleDOI
Adjuvant chemotherapy with gemcitabine vs observation in patients undergoing curative-intent resection of pancreatic cancer: a randomized controlled trial.
Helmut Oettle,Stefan Post,Peter Neuhaus,Klaus Gellert,Jan M. Langrehr,Karsten Ridwelski,Harald Schramm,J. Fahlke,Carl Zuelke,Christof Burkart,Klaus Gutberlet,E. Kettner,Harald Schmalenberg,Karin Weigang-Koehler,Wolf O. Bechstein,Marco Niedergethmann,Ingo G.H. Schmidt-Wolf,Lars Roll,Bernd Doerken,Hanno Riess +19 more
TL;DR: The results support the use of gemcitabine as adjuvant chemotherapy in resectable carcinoma of the pancreas by significantly delayed the development of recurrent disease after complete resection of pancreatic cancer compared with observation alone.
Journal ArticleDOI
Standard versus extended lymphadenectomy associated with pancreatoduodenectomy in the surgical treatment of adenocarcinoma of the head of the pancreas: a multicenter, prospective, randomized study. Lymphadenectomy Study Group.
Sergio Pedrazzoli,Valerio DiCarlo,Renzo Dionigi,Franco Mosca,Paolo Pederzoli,Claudio Pasquali,Günter Klöppel,Karl Dhaene,Fabrizio Michelassi +8 more
TL;DR: The addition of an extended lymphadenectomy and retroperitoneal soft-tissue clearance to a pancreatoduodenal resection does not significantly increase morbidity and mortality rates, and overall survival does not differ between the two groups.
Journal ArticleDOI
Prognostic Factors Following Curative Resection for Pancreatic Adenocarcinoma: A Population-Based, Linked Database Analysis of 396 Patients
TL;DR: Although biologic characteristics remain important predictors of survival for patients with resected pancreatic cancer, the most powerful determinant is postoperative adjuvant chemoradiation therapy.
Journal ArticleDOI
A prospective randomized trial comparing standard pancreatoduodenectomy with pancreatoduodenectomy with extended lymphadenectomy in resectable pancreatic head adenocarcinoma.
Michael B. Farnell,Randall K. Pearson,Michael G. Sarr,Eugene P. DiMagno,Lawrence J. Burgart,Tamela R. Dahl,Nathan R. Foster,Daniel J. Sargent +7 more
TL;DR: Both the decrement in quality of life and similar studies showing no survival difference make PD/ELND unattractive for further prospective investigation.
Related Papers (5)
Definition of a standard lymphadenectomy in surgery for pancreatic ductal adenocarcinoma: a consensus statement by the International Study Group on Pancreatic Surgery (ISGPS).
Johanna A. M. G. Tol,Dirk J. Gouma,Claudio Bassi,Christos Dervenis,Marco Montorsi,Mustapha Adham,Åke Andrén-Sandberg,Horacio J. Asbun,Maximilian Bockhorn,Markus W. Büchler,Kevin C. Conlon,Laureano Fernández-Cruz,Abe Fingerhut,Abe Fingerhut,Helmut Friess,Werner Hartwig,Jakob R. Izbicki,Keith D. Lillemoe,Miroslav Milicevic,John P. Neoptolemos,Shailesh V. Shrikhande,Charles M. Vollmer,Charles J. Yeo,Richard Charnley +23 more