Pathology reporting of pancreatic cancer following neoadjuvant therapy: challenges and uncertainties.
Cancer Treat Rev
; 41(1): 17-26, 2015 Jan.
Article
em En
| MEDLINE
| ID: mdl-25434282
ABSTRACT
An increasing number of studies investigate the use of neoadjuvant treatment for ductal adenocarcinoma of the pancreas. While a strong rationale supports this approach, study results are difficult to interpret and compare due to marked variance in multiple aspects of study design and performance. Divergence in pathology examination and reporting as a cause for heterogeneity and incomparability of study results has not been brought into this discussion yet, despite the fact that several key outcome measures for neoadjuvant treatment are pathology-based. This article discusses areas of controversy and difficulty regarding the evaluation of the extent of residual tumour tissue, grading of tumour regression and assessment of the margins, and explains the important clinical implications of the present uncertainty and divergence in pathology practice.
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Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Neoplasias Pancreáticas
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Terapia Neoadjuvante
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Carcinoma Ductal Pancreático
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article