What are the ASCO recommendations for primary surgical resection in pancreatic cancer?

Updated: Mar 07, 2019
  • Author: Tomislav Dragovich, MD, PhD; Chief Editor: N Joseph Espat, MD, MS, FACS  more...
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Answer

The American Society of Clinical Oncology (ASCO) recommends primary surgical resection of the primary tumor and regional lymph nodes for all patients meeting the following criteria [92] :

  • No clinical evidence for metastatic disease
  • Performance status and comorbidity profile that can withstand major abdominal surgery
  • No radiographic interface between primary tumor and mesenteric vasculature
  • CA 19-9 level suggestive of localized disease

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