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48

NCCN Guidelines for Patients

®

:

Pancreatic Cancer, Version 1.2017

5

Treatment guide

Borderline resectable pancreatic cancer

Guide 12. Treatment for recurrence after surgery

Test Test results Recurrence details Treatment

Possible

biopsy

ª

• Local

recurrence

ª

• Pancreas only

ª

• See a surgeon

ª

• Pancreas 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 or best

supportive cancer

ª

• Metastatic

disease

ª

• More than 6

months after

last treatment

ª

• Clinical trial (preferred)

or

• Prior systemic therapy

or

• Different chemotherapy

than before

or

• Palliative or best

supportive cancer

ª

• Less than 6

months after

last treatment

ª

• Clinical trial (preferred)

or

• Different chemotherapy

than before

or

• Palliative or best

supportive cancer