Email this article Morphological assessment of the prevalence of ductal adenocarcinoma of the pancreas
- Issue: Vol 23, No 1 (2015)
- Pages: 130-136
- Section: Articles
- URL: https://journals.rcsi.science/pavlovj/article/view/4615
- DOI: https://doi.org/10.17816/PAVLOVJ20151130-136
- ID: 4615
Cite item
Full Text
Abstract
To systematize the concept of "surgical margin" with ductal carcinoma pancreas to determine the prognostic value of regional lymph node and perineural invasion in these patients. Results. Status R1 pancreatic cancer detected in 69,1% (38/55), while often affects the medial and anterior surface - 14,5% and 9% (8/38 and 5/38), respectively. By the number of positive margins: 1 surface - 27,3 % (15/38), both surfaces - 35,5% (19/38) and 3- surfaces - 7,3% (4/38). Conclusions: ductal carcinoma in the pancreas along with direct tumor spread should provide locoregional spread and mixed (a combination of direct and locoregional). Undoubtedly, reliably identify R0 resection is impossible without improvement and standardization of protocols mortem examinations.
Keywords
Full Text
##article.viewOnOriginalSite##References
- Гарин А.М. Четыре формы рака с наименьшей 5-летней выживаемостью / А.М. Гарин // Материалы XII Рос. онкол. конгр. - М., 2009. - С. 37-39.
- Сетдикова Г.Р. Морфологические и молекулярно-биологические критерии прогноза протоковой аденокарциномы поджелудочной железы : автореф. дис. канд. мед. наук / Г.Р. Сетдикова. - М., 2012. - 26 c.
- Bosman F.T. WHO Classification of tumors of the digestive system / F.T. Bosman. - Lyon, 2010. - 417 p.
- Cancer statistics, 2008 / A. Jemal [et al.] // CA Cancer J. Clin. - 2008. - Vol. 58. -P. 71-96.
- Delpero J.R. Ductal adenocarcinoma of the head of the pancreas: a critical study of R1 resection rates / J.R. Delpero, O. Turrini // Bull Cancer. - 2008. - Vol. 95, №12. - P. 1193-1198.
- Does anyone survive pancreatic ductal adenocarcinoma? A nationwide study reevaluating the data of the Finnish Cancer Registry / M. Carpelan-Holmström [et al.] // Gut. - 2005. - Vol. 54, № 3. -P. 385-387.
- Esposito I., Kleeff Jo. rg, Bergmann F. // Annals of Surgical Oncology. - 2009. -Vol. 15, № 6. - P. 1651-1660.
- Factors influencing survival after resection for ductal adenocarcinoma of the head of the pancreas / G. Benassai [et al.] // J Surg Oncol. - 2000. - Vol. 73, № 4. - P. 212-218.
- Long-term results of partial pancreaticoduodenectomy for ductal adenocarcinoma of the pancreatic head: 25-year experience / A. Richter [et al.] // World J Surg. - 2003. - Vol. 27, № 3. - P. 324-329.
- Margin clearance and autcome in resected pancreatic cancer / D. Chang [et al.] // Clinic. Oncol. - 2009. - Vol. 27, №17. - P. 2855-2862.
- Matsuno S. R0 resection for ductal pancreatic cancer - Japanese experience / S. Matsuno, S. Egawa, M. Unno // Am J Surg. - 2007. - Vol. 194. - P. 110-114.
- Pancreatic cancer: basic and clinical aspects / G. Schneider [et al.] // Gastroenterology. - 2005. - Suppl.128. -Р. 1606-1625.
- Redefining the R1 resection in pancreatic cancer / C.S. Verbeke [et al.] // Br J Surg. - 2006. - Vol. 93, № 10. - P. 1232-1237.
- Resectable adenocarcinomas in the pancreatic head: the retroperitoneal resection margin is an independent prognostic factor / A. Westgaard [et al.] // BMC Cancer. - 2008. - Vol. 8. - P. 5.
- The results and problems of extensive radical surgery for carcinoma of the head of the pancreas / T. Nagakawa [et al.] // Jpn J Surg. - 1991. - Vol. 21, № 3. -P. 262-267.
Supplementary files
