Metastatic pancreatic ductal adenocarcinoma: diagnosis and treatment with a view to the future

Adrian M.J. Pokorny, Venessa T. Chin, Adnan M. Nagrial, Desmond Yip, Lorraine A. Chantrill*

*Corresponding author for this work

    Research output: Contribution to journalArticlepeer-review

    4 Citations (Scopus)

    Abstract

    Metastatic pancreatic ductal adenocarcinoma (mPDAC) is a lethal disease with a poor 5-year survival. Systemic treatments can be used to control symptoms and prolong life. Cytotoxic chemotherapies are commonly administered, with combination treatments, such as fluorouracil, folinic acid, irinotecan and oxaliplatin (FOLFIRINOX) or nab-paclitaxel and gemcitabine showing the largest clinical benefits. Newer genomic classifications of PDAC may provide a rationale for targeted therapies or immunotherapies, although at present these remain largely experimental. This review discusses the evidence behind the currently used regimens, while introducing the potential future of pancreatic cancer care.

    Original languageEnglish
    Pages (from-to)637-644
    Number of pages8
    JournalInternal Medicine Journal
    Volume48
    Issue number6
    DOIs
    Publication statusPublished - Jun 2018

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