胰腺癌治疗进展英文.pptx
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胰腺癌治疗进展英文.pptx

胰腺癌治疗进展英文.pptx

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会计学PancreaticCancerEpidemiologyPancreaticCancerEpidemiologyPancreaticCancerEpidemiologyPancreaticCancerEpidemiologyLatePresentation-PoorSurvivalLatePresentation-PoorSurvivalNoSurgeryPancreaticResectionStandardWhippleStandardWhipplePylorusPreservingWhipplePylorusPreservingWhippleFactorsInfluencingSurvival182consecutivepatientsunderwentaWhippleforpancreaticcancerbetween1987and2005.Patientsfrom1987-1995werecomparedwiththosefrom1996-2005.SurvivalDegreeofTumorDifferentiationLymphNodesPerineuralInvasionResectionMargins27.4%350mlEBLAdjuvantTherapyCriteriaforResectionCriteriaforResection“Downstaging”ofPaCaEffectofChemotherapyonTumorInitialscanshowsSMAinvolvementPVAdjuvantTherapyNeoadjuvantTherapyTheoreticalAdvantagesTheoreticalAdvantagesTheoreticalAdvantagesofNeoadjuvantTherapyIsThisanAdvantage?NeoadjuvantTherapyNeoadjuvantTherapyNeoadjuvantTherapyNeoadjuvantRadioTherapyDavidGeffenSchoolofMedicineatUCLA1955-2014RonaldReaganUCLAMedicalCenter