Curbside Consultation in GI Cancer for the Gastroenterologist: 49 Clinical Questions

Douglas G. Adler, MD

Question 22: A 67-Year-Old Man With Pancreatic Adenocarcinoma Undergoes Endoscopic Ultrasound, Which Reveals Malignant Adenopathy And Superior Mesenteric And Portal Vein Involvement. What Treatment Options Exist For This Patient? (continued)

Sean J. Mulvihill, MD

The treatment of pancreatic cancer is evolving with the development of new technologies and other advances in therapy. Despite these improvements, this tumor has the lowest 5-year survival rate of almost any other malignancy. Improved recognition of factors leading to elevated risk gives hope of surveillance, earlier diagnosis, and improved survival, although only a minority of affected patients fall into these groups and effective screening strategies are still under development. Diagnosis following the development of symptoms, especially painless jaundice as in this patient, remains the…