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...
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creator | Shrikhande, Shailesh V Barreto, Savio Sirohi, Bhawna Bal, Munita Shrimali, Raj Kumar Chacko, Raju T Chaudhari, Vikram Bhatia, Vikram Kulkarni, Suyash Kaur, Tanvir Dhaliwal, R S Rath, Goura Kishor |
description | 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). |
doi_str_mv | 10.4103/ijmpo.ijmpo_29_19 |
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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).</description><identifier>ISSN: 0971-5851</identifier><identifier>EISSN: 0975-2129</identifier><identifier>DOI: 10.4103/ijmpo.ijmpo_29_19</identifier><language>eng</language><publisher>A-12, 2nd Floor, Sector 2, Noida-201301 UP, India: Thieme Medical and Scientific Publishers Pvt. Ltd</publisher><subject>Abdomen ; Alcohol ; Analysis ; Cancer research ; Cancer therapies ; Care and treatment ; Chemotherapy ; Developing countries ; Diabetes ; Editorial Commentary ; LDCs ; Medical imaging ; Medical research ; Metastasis ; Pancreatic cancer ; Pancreatitis ; Patients ; Practice guidelines (Medicine) ; Radiation therapy ; Surgery ; Tumors</subject><ispartof>Indian journal of medical and paediatric oncology, 2019-01, Vol.40 (1), p.9-14</ispartof><rights>Indian Society of Medical and Paediatric Oncology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).</rights><rights>COPYRIGHT 2019 Medknow Publications and Media Pvt. Ltd.</rights><rights>2019. This work is published under https://creativecommons.org/licenses/by-nc-sa/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c539h-8384646575d35264a342ceed3e61a576dc2ef6057621abae45741b8d8cac64f13</citedby><cites>FETCH-LOGICAL-c539h-8384646575d35264a342ceed3e61a576dc2ef6057621abae45741b8d8cac64f13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.thieme-connect.de/products/ejournals/pdf/10.4103/ijmpo.ijmpo_29_19.pdf$$EPDF$$P50$$Gthieme$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.thieme-connect.de/products/ejournals/html/10.4103/ijmpo.ijmpo_29_19$$EHTML$$P50$$Gthieme$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,20870,27901,27902,54562,54590</link.rule.ids></links><search><creatorcontrib>Shrikhande, Shailesh V</creatorcontrib><creatorcontrib>Barreto, Savio</creatorcontrib><creatorcontrib>Sirohi, Bhawna</creatorcontrib><creatorcontrib>Bal, Munita</creatorcontrib><creatorcontrib>Shrimali, Raj Kumar</creatorcontrib><creatorcontrib>Chacko, Raju T</creatorcontrib><creatorcontrib>Chaudhari, Vikram</creatorcontrib><creatorcontrib>Bhatia, Vikram</creatorcontrib><creatorcontrib>Kulkarni, Suyash</creatorcontrib><creatorcontrib>Kaur, Tanvir</creatorcontrib><creatorcontrib>Dhaliwal, R S</creatorcontrib><creatorcontrib>Rath, Goura Kishor</creatorcontrib><title>Indian council of medical research consensus document for the management of pancreatic cancer</title><title>Indian journal of medical and paediatric oncology</title><addtitle>Indian J Med Paediatr Oncol</addtitle><description>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. 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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. 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subjects | Abdomen Alcohol Analysis Cancer research Cancer therapies Care and treatment Chemotherapy Developing countries Diabetes Editorial Commentary LDCs Medical imaging Medical research Metastasis Pancreatic cancer Pancreatitis Patients Practice guidelines (Medicine) Radiation therapy Surgery Tumors |
title | Indian council of medical research consensus document for the management of pancreatic cancer |
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