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37

NCCN Guidelines for Patients

®

:

Pancreatic Cancer, Version 1.2017

5

Treatment guide

Resectable pancreatic cancer

Resectable pancreatic cancer

Guide 6

shows the recommended treatments

for cancer that is in the pancreas only. Primary

treatment refers to the first or main treatment used

to treat cancer. Surgery is the primary treatment for

resectable pancreatic cancer.

Tests

Before surgery to remove the cancer, your doctors

may want to do a surgical test called a staging

laparoscopy. It is used to make sure there is no

evidence of metastases in your abdominal cavity that

could not be seen by imaging tests. Your doctors

may consider this test if you are at higher risk of

having metastases.

Guide 6. Primary treatment with surgery

Primary treatment Follow-up

Surgery

ª

• Surgery complete

ª

• Adjuvant treatment and surveillance

ª

• Cancer can’t be

removed with surgery

ª

• Biopsy if not

done before

ª

• If no jaundice

,

consider duodenal

bypass with or

without nerve block

for pain

ª

• If jaundice

, metal

stent or bypass with

or without duodenal

bypass, with or

without nerve block

for pain