NCCN Guidelines for Patients® | Pancreatic Cancer - page 69

NCCN Guidelines for Patients
Pancreatic Cancer, Version 1.2014
Treatment guide
Locally advanced unresectable pancreatic cancer
of a test or treatment. (Read Part 3 on page 30
for details on clinical trials.) The next two options
depend on the type of chemotherapy you had before.
Fluoropyrimidine-based chemotherapy is an option
if you had a gemcitabine-based regimen before.
Likewise, gemcitabine-based therapy is an option
if you had fluoropyrimidine-based regimen before.
Lastly, chemoradiation is another possible option.
But, chemoradiation is only recommended if you
haven’t had it before and if cancer has only grown
(progressed) in the pancreas. Read Part 3 on
page 24 for details on each treatment.
If you have a poor health status after second-
line treatment,
then the next option is palliative and
best supportive care. Supportive care—also called
palliative care—is treatment for the symptoms and
health conditions caused by pancreatic cancer. Read
Part 4 on page 36 for details.
Next steps:
If the cancer spreads far from the
first tumor, see Part 5.5 for metastatic
cancer treatment recommendations.
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