Indian council of medical research consensus document for the management of pancreatic cancer

A baseline contrast-enhanced computed tomography (CT) scan of the chest, abdomen, and pelvis should be consideredPatients should receive multidisciplinary care under the care of a surgical, medical, and radiation oncologistThe indication for endobiliary stenting in patients with obstructive jaundice includes symptoms of cholangitis and/or sepsis, resultant coagulopathy and/or renal insufficiency, or if significant delays in surgery are anticipatedThe patient's malignancy should be classified as resectable, borderline resectable, or locally advanced on the basis of radiologic criteria at diagnosis and treatment plan discussed accordinglyResectable pancreatic cancer – Primary surgery remains the standard of care. Purpose Although International Guidelines are available for the management of pancreatic cancer, it is not entirely feasible to apply these guidelines to the Indian population owing to differences in incidence of the disease in different parts of India, socioeconomic factors, and availability of resources. [...]it is essential to analyze the evidence pertaining to pancreatic cancer from India and the rest of the world[9],[10] with an aim to formulate evidence-based guidelines that could be applicable to Indian patients. Both of the above contribute to the late presentation of the cancer and its notoriously poor outcomes. [...]clinicians must be aware of specific clinical presentations linked with pancreatic cancer. [28],[29] Based on the limited data available, these resections are associated with a high morbidity and even mortality but an improved survival (5-year survival rates of 16%–22%)[30],[31] when compared to no resection. [...]resections should only be performed if there exists a clear and objective possibility of achieving a complete resection (R0).