Genetic Therapy for Pancreatic Cancer: Is it the Future?

L. Dioscoridi
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Abstract

We firstly have to consider two important points. The first one is that surgery for pancreatic cancer is complex and risky: perioperative mortality is 4-18% and major complications occur in more than 40% of cases.1 Moreover, only 15-20% of patients have a resectable tumour at the first diagnosis.2 Furthermore, disease’s recurrence following operation is very high because of local invasion and micrometastases at the time of surgery.3 The second point is that the first chemotherapies for pancreatic cancer (5-fluoro-uracile, and the actually used, gemcitabine) are not specific for pancreatic tumours and have been provided only a little impact on overall survive.4
胰腺癌的基因治疗:是未来吗?
我们首先要考虑两点。首先,胰腺癌的手术是复杂和危险的:围手术期死亡率为4-18%,超过40%的病例发生严重并发症此外,只有15-20%的患者在第一次诊断时具有可切除的肿瘤此外,由于手术时的局部侵袭和微转移,手术后疾病的复发率很高第二点是胰腺癌的第一批化疗(5-氟尿嘧啶和实际使用的吉西他滨)不是针对胰腺肿瘤的特异性治疗,而且对总生存率只有很小的影响
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