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41

NCCN Guidelines for Patients

®

:

Pancreatic Cancer, Version 1.2017

5

Treatment guide

Resectable pancreatic cancer

Guide 8

shows the tests and treatments that are

recommended when there is a return (recurrence)

of pancreatic cancer after surgery and adjuvant

treatment.

Guide 8. Treatment for recurrence after surgery

Test Test results Recurrence details Treatment

Possible

biopsy

ª

• Local

recurrence

ª

• Pancreas only

ª

• See a surgeon

ª

• Pancreatic bed

ª

• Clinical trial (preferred)

or

• Consider chemoradiation (if

not given before)

or

• Consider chemotherapy, then

SBRT (if not given before)

or

• Different chemotherapy than

before

or

• Palliative and best supportive

cancer

ª

• Metastatic

disease

with or

without

local

recurrence

ª

• More than 6

months from

completing

primary

treatment

ª

• Clinical trial (preferred)

or

• Prior systemic therapy

or

• Different chemotherapy than

before

or

• Palliative and best supportive

cancer

ª

• Less than 6

months from

completing

primary

treatment

ª

• Clinical trial (preferred)

or

• Different chemotherapy than

before

or

• Palliative and best supportive

cancer