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2. Radiologically occult metastatic pancreatic cancer: how can we avoid unbeneficial resection?

Author

Yoshihiro Ono, Akio Saiura, Yosuke Inoue, Hiromichi Ito, Atsushi Oba, Yoshihiro Mise, Yu Takahashi, Takafumi Sato, and Shoichi Irie

Subjects
Adult, Male, medicine.medical_specialty, medicine.medical_treatment, Gastroenterology, 03 medical and health sciences, Pancreatectomy, 0302 clinical medicine, Pancreatic cancer, Internal medicine, medicine, Humans, Pancreas, Aged, Retrospective Studies, Aged, 80 and over, Chemotherapy, business.industry, Liver Neoplasms, Middle Aged, Vascular surgery, Prognosis, medicine.disease, Occult, Pancreatic Neoplasms, Cardiothoracic surgery, 030220 oncology & carcinogenesis, Female, 030211 gastroenterology & hepatology, Surgery, CA19-9, business, Abdominal surgery
Abstract

This study aimed to clarify the key factors for minimizing unsuitable surgical interventions for patients with radiologically occult metastatic pancreatic cancer (ROMPC), defined as a distant metastasis detected during surgery or within 6 months after resection. This study involved 502 patients planned to undergo curative resection for pancreatic cancer between 2008 and 2015. Patients were divided into ROMPC and non-ROMPC groups and evaluated preoperative factors associated with ROMPC. Overall survival (OS) was significantly lower in the ROMPC group (n = 145) than the non-ROMPC group (n = 357, median survival time [MST] 10.8 vs. 35.3 months, P

Published
2019
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