NCCN Guidelines for Patients
Pancreatic Cancer, Version 1.2017
Resectable pancreatic cancer
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.
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
Adjuvant treatment Follow-up
• CA 19-9
• No neoadjuvant
• Clinical trial
• Chemotherapy, then
possibly followed by
every 3 to 6
months for 2
every 6 to 12
CT scan with
• Consider more
• See treatment for metastatic disease