Pancreatic Cancer Long Survivals

A special issue of Life (ISSN 2075-1729). This special issue belongs to the section "Physiology and Pathology".

Deadline for manuscript submissions: 31 January 2025 | Viewed by 1327

Special Issue Editors


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Guest Editor
Medical Oncology Unit, University Hospital of Parma, Parma, Italy
Interests: pancreatic cancer; biomarker; neoadjuvant therapy; target therapy

E-Mail Website
Guest Editor
Medical Oncology Unit, University Hospital of Parma, Parma, Italy
Interests: pancreatic cancer; biomarker; neoadjuvant therapy; target therapy
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Pancreatic ductal adenocarcinoma (PDAC) remains one of the most difficult tumors to treat. Radical surgery is the only potentially curative treatment; however, even in the group of radically resected patients, the five-year survival rate is below 25%. There are several reasons for the dismal prognosis of PDAC, particularly the late onset of symptoms, biological aggressiveness characterized by early metastasis and impressive resistance to many anticancer agents.

Unfortunately, progress in the management of both resectable and borderline-resectable PDAC, but especially of locally advanced/metastatic disease has been very modest in the last decades. In fact, chemotherapy regimens (gemcitabine and abraxane or FOLFIRINOX) are considered the gold standard in the treatment of locally advanced or metastatic PDAC, though providing only slight improvements in the overall survival, reaching few months at best. No target therapies or immunotherapy approaches are nowadays clearly effective for PDAC. Additionally, no predictive biomarkers of treatment effectiveness are used routinely in clinical practice. Only the implementation of genetic testing can change a very narrow treatment landscape for small subsets of patients with actionable aberrations. In particular, in BRCA1/2-mutated patients, olaparib (PARP inhibitor) may be proposed as a maintenance strategy. Nevertheless, the differences in outcomes of PDAC patients exist. Therefore, understanding the characteristics of long pancreatic cancer survivals may be clinically important.

Dr. Francesco Leonardi
Dr. Ingrid Garajova
Guest Editors

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Keywords

  • pancreatic cancer
  • long survival
  • outcome
  • pancreatic adenocarcinoma
  • long-term survival
  • surgical resection
  • chemotherapy
  • NGS

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Published Papers (1 paper)

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Review

34 pages, 1595 KiB  
Review
Pancreatic Cancer: A Review of Risk Factors
by Raluca Roxana Grigorescu, Ioana Alexandra Husar-Sburlan and Cristian Gheorghe
Life 2024, 14(8), 980; https://doi.org/10.3390/life14080980 - 5 Aug 2024
Viewed by 1182
Abstract
Pancreatic adenocarcinoma is one of the most lethal types of gastrointestinal cancer despite the latest medical advances. Its incidence has continuously increased in recent years in developed countries. The location of the pancreas can result in the initial symptoms of neoplasia being overlooked, [...] Read more.
Pancreatic adenocarcinoma is one of the most lethal types of gastrointestinal cancer despite the latest medical advances. Its incidence has continuously increased in recent years in developed countries. The location of the pancreas can result in the initial symptoms of neoplasia being overlooked, which can lead to a delayed diagnosis and a subsequent reduction in the spectrum of available therapeutic options. The role of modifiable risk factors in pancreatic cancer has been extensively studied in recent years, with smoking and alcohol consumption identified as key contributors. However, the few screening programs that have been developed focus exclusively on genetic factors, without considering the potential impact of modifiable factors on disease occurrence. Thus, fully understanding and detecting the risk factors for pancreatic cancer represents an important step in the prevention and early diagnosis of this type of neoplasia. This review reports the available evidence on different risk factors and identifies the areas that could benefit the most from additional studies. Full article
(This article belongs to the Special Issue Pancreatic Cancer Long Survivals)
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