Pancreatic Adenocarcinoma, Version 2.2021, NCCN Clinical Practice Guidelines in Oncology

Author:

Tempero Margaret A.1,Malafa Mokenge P.2,Al-Hawary Mahmoud3,Behrman Stephen W.4,Benson Al B.5,Cardin Dana B.6,Chiorean E. Gabriela7,Chung Vincent8,Czito Brian9,Del Chiaro Marco10,Dillhoff Mary11,Donahue Timothy R.12,Dotan Efrat13,Ferrone Cristina R.14,Fountzilas Christos15,Hardacre Jeffrey16,Hawkins William G.17,Klute Kelsey18,Ko Andrew H.1,Kunstman John W.19,LoConte Noelle20,Lowy Andrew M.21,Moravek Cassadie22,Nakakura Eric K.1,Narang Amol K.23,Obando Jorge9,Polanco Patricio M.24,Reddy Sushanth25,Reyngold Marsha26,Scaife Courtney27,Shen Jeanne28,Vollmer Charles29,Wolff Robert A.30,Wolpin Brian M.31,Lynn Beth32,George Giby V.32

Affiliation:

1. 1UCSF Helen Diller Family Comprehensive Cancer Center;

2. 2Moffitt Cancer Center;

3. 3University of Michigan Rogel Cancer Center;

4. 4The University of Tennessee Health Science Center;

5. 5Robert H. Lurie Comprehensive Cancer Center of Northwestern University;

6. 6Vanderbilt-Ingram Cancer Center;

7. 7Fred Hutchinson Cancer Research Center/Seattle Cancer Care Alliance;

8. 8City of Hope National Medical Center;

9. 9Duke Cancer Institute;

10. 10University of Colorado Cancer Center;

11. 11The Ohio State University Comprehensive Cancer Center - James Cancer Hospital and Solove Research Institute;

12. 12UCLA Jonsson Comprehensive Cancer Center;

13. 13Fox Chase Cancer Center;

14. 14Massachusetts General Hospital Cancer Center;

15. 15Roswell Park Comprehensive Cancer Center;

16. 16Case Comprehensive Cancer Center/University Hospitals Seidman Cancer Center and Cleveland Clinic Taussig Cancer Institute;

17. 17Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine;

18. 18Fred & Pamela Buffett Cancer Center;

19. 19Yale Cancer Center/Smilow Cancer Hospital;

20. 20University of Wisconsin Carbone Cancer Center;

21. 21UC San Diego Moores Cancer Center;

22. 22Pancreatic Cancer Action Network;

23. 23The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins;

24. 24UT Southwestern Simmons Comprehensive Cancer Center;

25. 25O’Neal Comprehensive Cancer Center at UAB;

26. 26Memorial Sloan Kettering Cancer Center;

27. 27Huntsman Cancer Institute at the University of Utah;

28. 28Stanford Cancer Institute;

29. 29Abramson Cancer Center at the University of Pennsylvania;

30. 30The University of Texas MD Anderson Cancer Center;

31. 31Dana-Farber/Brigham and Women’s Cancer Center;

32. 32National Comprehensive Cancer Network.

Abstract

Pancreatic cancer is the fourth leading cause of cancer-related death among men and women in the United States. A major challenge in treatment remains patients’ advanced disease at diagnosis. The NCCN Guidelines for Pancreatic Adenocarcinoma provides recommendations for the diagnosis, evaluation, treatment, and follow-up for patients with pancreatic cancer. Although survival rates remain relatively unchanged, newer modalities of treatment, including targeted therapies, provide hope for improving patient outcomes. Sections of the manuscript have been updated to be concordant with the most recent update to the guidelines. This manuscript focuses on the available systemic therapy approaches, specifically the treatment options for locally advanced and metastatic disease.

Publisher

Harborside Press, LLC

Subject

Oncology

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