TY - JOUR
T1 - Duktales Adenokarzinom des Pankreas – Entstehung, Diagnostik, Therapie
AU - Reißig, Timm
AU - Siveke, Jens
N1 - Publisher Copyright:
© 2020, Springer Medizin Verlag GmbH, ein Teil von Springer Nature.
PY - 2020/10/1
Y1 - 2020/10/1
N2 - Only 8–9% of patients with ductal adenocarcinoma of the pancreas (PDAC) still live 5 years after diagnosis. In 2030, PDAC is projected to be the second leading cause of cancer-related death. Key reasons are diagnosis in metastatic state, complex tumor biology, and exceptional therapy resistance. Computed tomography scan and confirmation by biopsy or surgery are essential for diagnosis. Combined chemotherapy first-line protocols like FOLFIRINOX (5-fluorouracil [5-FU], folinic acid, irinotecan, oxaliplatin) and gemcitabine/nanoparticle albumin-bound (nab)-paclitaxel and second-line protocols like nanoliposomal (nal)-irinotecan/5-FU have led to longer survival. An improved molecular understanding may enable precision medicine strategies in selected patients. This article gives a review on development, diagnosis and therapy of PDAC.
AB - Only 8–9% of patients with ductal adenocarcinoma of the pancreas (PDAC) still live 5 years after diagnosis. In 2030, PDAC is projected to be the second leading cause of cancer-related death. Key reasons are diagnosis in metastatic state, complex tumor biology, and exceptional therapy resistance. Computed tomography scan and confirmation by biopsy or surgery are essential for diagnosis. Combined chemotherapy first-line protocols like FOLFIRINOX (5-fluorouracil [5-FU], folinic acid, irinotecan, oxaliplatin) and gemcitabine/nanoparticle albumin-bound (nab)-paclitaxel and second-line protocols like nanoliposomal (nal)-irinotecan/5-FU have led to longer survival. An improved molecular understanding may enable precision medicine strategies in selected patients. This article gives a review on development, diagnosis and therapy of PDAC.
KW - Chemotherapy, adjuvant
KW - Chemotherapy, combination
KW - Molecular targeted therapy
KW - Pancreatic neoplasms/etiology
KW - Precision medicine
UR - http://www.scopus.com/inward/record.url?scp=85088935770&partnerID=8YFLogxK
U2 - 10.1007/s00761-020-00813-7
DO - 10.1007/s00761-020-00813-7
M3 - Artikel
AN - SCOPUS:85088935770
SN - 0947-8965
VL - 26
SP - 977
EP - 985
JO - Onkologe
JF - Onkologe
IS - 10
ER -