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Pancreatic cancer has a relatively high incidence, making
it one of the top ten incidence cancers and rank the fourth
among cancer related death.
Patients with pancreatic cancer are best cared for by
multidisciplinary teams that include surgeons, medical and
radiation oncologists, radiologists, nutritionists and pain
Resection remains the only chance for a cure of
pancreatic adenocarcinoma, and resectable patients should
undergo surgery, followed by adjuvant therapy.
Borderline resectable patients can receive neoadjuvant
therapy in the hope of undergoing surgery and higher chance of
Patients with locally advanced unresectable disease and
good performance status can undergo chemotherapy and
chemoradiation.Good performance status patients presenting with
metastatic disease can receive palliative chemotherapy and also,
any other palliative measures should be considered.
Early introduction of supportive/ palliative care might
provide patients with better physical and emotional symptom
control and better quality of life.