Pancreatic cancer: how does an MDT discuss treatment sequence?

Multidisciplinary discussion establishes resectability first, then the order of medicines, surgery, radiotherapy and supportive care.

Patient education and evidence interpretation

Population and background

Resectable, borderline resectable, locally advanced and metastatic pancreatic cancers need separate discussion.

What the evidence shows

Pancreatic cancer treatment order considers resectability and health. Surgery, medicines, radiotherapy and supportive care serve different purposes.

Conclusions that cannot be drawn

The hospital must assess resectability and surgical timing. Compare outcomes in populations with similar stage, treatment and follow-up. Center survival rates cannot be compared directly with national registry figures.

Questions to ask your doctor

Which resectability category do my images indicate, and why? If medicines come first, when will reassessment reconsider surgery? How will jaundice, pain or nutrition problems be managed?

Related technologies and evidence

Lung cancer · Breast cancer · Gastric cancer · Colorectal cancer · Liver cancer · Thyroid cancer · Oesophageal cancer · Prostate cancer · Cervical cancer · Pancreatic cancer · Lymphoma · Leukaemia · Melanoma

Assessment by pathology, tests and product

Targeted therapy and immunotherapy

Molecular targeted therapy and immune checkpoint inhibition rely on different evidence. A medicine being new or inexpensive is not sufficient reason to choose it.

Sources (2)
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Related cancer types and preparation for care

Sources and scope of interpretation

The following sources support the disease information or explanations of evidence on this page. Access and actual patient acceptance requirements must be checked separately for each region. The information checking date does not indicate review by an external medical expert.

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Ask about the costs and arrangements for cancer care. SinoCareHub helps organise records, contact hospitals and follow up on arrangements. The receiving hospital and doctors determine the diagnosis and treatment plan.

Describe your needs in the initial consultation. The team will help organise medical records in subsequent communication.

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