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39

NCCN Guidelines for Patients

®

:

Pancreatic Cancer, Version 1.2017

5

Treatment guide

Resectable pancreatic cancer

Guide 7

shows the next tests and treatments

recommended after primary treatment with surgery

for resectable pancreatic cancer. Primary treatment

is the first or main treatment given to rid the body of

cancer. Adjuvant treatment is treatment given after

primary treatment to kill any remaining cancer cells.

Tests

Before beginning adjuvant treatment, you will have

a CT scan of the abdomen and CA 19-9 blood test.

These tests are done to check for signs of recurrence

(return of cancer after treatment).

If the tests do not show any signs of recurrence,

then you will receive adjuvant treatment. Adjuvant

treatment should only be started after you’ve fully

recovered from surgery. This treatment usually starts

4 to 8 weeks after surgery.

Guide 7. Adjuvant treatment after surgery

Tests

Tests results

Adjuvant treatment Follow-up

• Abdomen

CT with

contrast

• CA 19-9

ª

• No neoadjuvant

treatment,

no recurrence

or metastatic

disease

ª

• Clinical trial

(preferred)

or

• Chemotherapy

or

• Chemotherapy, then

chemoradiation,

possibly followed by

more chemotherapy

ª

ª

Surveillance

every 3 to 6

months for 2

years, then

every 6 to 12

months with:

• Medical

history and

physical exam

• CA19-9

• Abdomen

CT scan with

contrast

ª

• Had

neoadjuvant

treatment,

no recurrence

or metastatic

disease

ª

• Consider more

chemotherapy

ª

• Metastatic

disease

ª

• See treatment for metastatic disease