Journal of Surgery Concepts & Practice ›› 2025, Vol. 30 ›› Issue (06): 474-478.doi: 10.16139/j.1007-9610.2025.06.03
• Experts forum • Previous Articles Next Articles
KANG Xiaochao, LI Yikai, GUO Shiwei, JIN Gang(
)
Received:2025-06-27
Online:2025-11-25
Published:2026-01-26
Contact:
JIN Gang
E-mail:jingang@smmu.edu.cn
CLC Number:
KANG Xiaochao, LI Yikai, GUO Shiwei, JIN Gang. Reflections on key issues in neoadjuvant therapy for pancreatic cancer: a paradigm shift from evidence-based medicine to precision medicine[J]. Journal of Surgery Concepts & Practice, 2025, 30(06): 474-478.
| [1] | BRAY F, LAVERSANNE M, SUNG H, et al. Global cancer statistics 2022: globocan estimates of incidence and mortality worldwide for 36 cancers in 185 countries[J]. CA Cancer J Clin, 2024, 74(3):229-263. |
| [2] |
STOFFEL E M, BRAND R E, GOGGINS M. Pancreatic cancer: changing epidemiology and new approaches to risk assessment, early detection, and prevention[J]. Gastroenterology, 2023, 164(5):752-765.
doi: 10.1053/j.gastro.2023.02.012 pmid: 36804602 |
| [3] |
STROBEL O, NEOPTOLEMOS J, JÄGER D, et al. Optimizing the outcomes of pancreatic cancer surgery[J]. Nat Rev Clin Oncol, 2019, 16(1):11-26.
doi: 10.1038/s41571-018-0112-1 pmid: 30341417 |
| [4] |
WU M Y, SHEN M, XU M D, et al. FOLFIRINOX regulated tumor immune microenvironment to extend the survival of patients with resectable pancreatic ductal adenocarcinoma[J]. Gland Surg, 2020, 9(6):2125-2135.
doi: 10.21037/gs URL |
| [5] |
DAI G H, RU J, SI H Y, et al. A phase 1b/2 study of surufatinib plus camrelizumab,nab-paclitaxel,and S-1(NASCA) as first-line therapy for metastatic pancreatic adenocarcinoma(mPDAC)[J]. J Clin Oncol, 2023, 41(16):4142.
doi: 10.1200/JCO.2023.41.16_suppl.4142 URL |
| [6] |
RENOUF D J, LOREE J M, KNOX J J, et al. The CCTG PA.7 phase Ⅱ trial of gemcitabine and nab-paclitaxel with or without durvalumab and tremelimumab as initial therapy in metastatic pancreatic ductal adenocarcinoma[J]. Nat Commun, 2022, 13(1):5020.
doi: 10.1038/s41467-022-32591-8 |
| [7] |
PADRÓN L J, MAURER D M, O’HARA M H, et al. Sotigalimab and/or nivolumab with chemotherapy in first-line metastatic pancreatic cancer: clinical and immunologic analyses from the randomized phase 2 PRINCE trial[J]. Nat Med, 2022, 28(6):1167-1177.
doi: 10.1038/s41591-022-01829-9 pmid: 35662283 |
| [8] | KIRCHHAMMER N, TREFNY M P, AUF DER MAUR P, et al. Combination cancer immunotherapies: emerging treatment strategies adapted to the tumor microenvironment[J]. Sci Transl Med, 2022, 14(670):eabo3605. |
| [9] |
GALON J, BRUNI D. Approaches to treat immune hot, altered and cold tumours with combination immunotherapies[J]. Nat Rev Drug Discov, 2019, 18(3):197-218.
doi: 10.1038/s41573-018-0007-y pmid: 30610226 |
| [10] |
KRUGER S, HEINEMANN V, ROSS C, et al. Repeated mutKRAS ctDNA measurements represent a novel and promising tool for early response prediction and therapy monitoring in advanced pancreatic cancer[J]. Ann Oncol, 2018, 29(12):2348-2355.
doi: S0923-7534(19)34233-4 pmid: 30346475 |
| [11] |
WATANABE F, SUZUKI K, AIZAWA H, et al. Circulating tumor DNA in molecular assessment feasibly predicts early progression of pancreatic cancer that cannot be identified via initial imaging[J]. Sci Rep, 2023, 13(1):4809.
doi: 10.1038/s41598-023-31051-7 |
| [12] | DU J, LU C, MAO L, et al. PD-1 blockade plus chemoradiotherapy as preoperative therapy for patients with BRPC/LAPC: a biomolecular exploratory, phase Ⅱ trial[J]. Cell Rep Med, 2023, 4(3):100972. |
| [13] |
GEMENETZIS G, GROOT V P, YU J, et al. Circulating tumor cells dynamics in pancreatic adenocarcinoma correlate with disease status: results of the prospective cluster study[J]. Ann Surg, 2018, 268(3):408-420.
doi: 10.1097/SLA.0000000000002925 pmid: 30080739 |
| [14] |
NASIEF H, ZHENG C, SCHOTT D, et al. A machine learning based delta-radiomics process for early prediction of treatment response of pancreatic cancer[J]. NPJ Precis Oncol, 2019, 3:25.
doi: 10.1038/s41698-019-0096-z pmid: 31602401 |
| [15] |
FRAUNHOFFER N, HAMMEL P, CONROY T, et al. Development and validation of AI-assisted transcriptomic signatures to personalize adjuvant chemotherapy in patients with pancreatic ductal adenocarcinoma[J]. Ann Oncol, 2024, 35(9):780-791.
doi: 10.1016/j.annonc.2024.06.010 pmid: 38906254 |
| [16] |
CHAN-SENG-YUE M, KIM J C, WILSON G W, et al. Transcription phenotypes of pancreatic cancer are driven by genomic events during tumor evolution[J]. Nat Genet, 2020, 52(4):231-240.
doi: 10.1038/s41588-019-0566-9 |
| [17] |
GOLAN T, HAMMEL P, RENI M, et al. Maintenance olaparib for germline BRCA-mutated metastatic pancreatic cancer[J]. N Engl J Med, 2019, 381(4):317-327.
doi: 10.1056/NEJMoa1903387 URL |
| [18] |
MAHADEVAN K K, MCANDREWS K M, LEBLEU V S, et al. KRASG12Dinhibition reprograms the microenvironment of early and advancedpancreatic cancer to promote FAS-mediated killing by CD8+ T cells[J]. Cancer Cell, 2023, 41:1606-620,e8.
doi: 10.1016/j.ccell.2023.07.002 URL |
| [19] |
WASKO U N, JIANG J, DALTON T C, et al. Tumour-selective activity of RAS-GTP inhibition in pancreatic cancer[J]. Nature, 2024, 629(8013):927-936.
doi: 10.1038/s41586-024-07379-z |
| [20] |
SINGHAL A, LI B T, O’REILLY E M. Targeting KRAS in cancer[J]. Nat Med, 2024, 30(4):969-983.
doi: 10.1038/s41591-024-02903-0 pmid: 38637634 |
| [21] |
TEMPERO M A, MALAFA M P, AL-HAWARY M, et al. Pancreatic adenocarcinoma, version 2.2021, NCCN clinical practice guidelines in oncology[J]. J Natl Compr Canc Netw, 2021, 19(4):439-457.
doi: 10.6004/jnccn.2021.0017 URL |
| [22] |
KRISHNAN S, CHADHA A S, SUH Y, et al. Focal radiation therapy dose escalation improves overall survival in locally advanced pancreatic cancer patients receiving induction chemotherapy and consolidative chemoradiation[J]. Int J Radiat Oncol Biol Phys, 2016, 94(4):755-765.
doi: 10.1016/j.ijrobp.2015.12.003 URL |
| [23] | ABI JAOUDE J, THUNSHELLE C P, KOUZY R, et al. Stereotactic versus conventional radiation therapy for patients with pancreatic cancer in the modern era[J]. Adv Radiat Oncol, 2021, 6(6):100763. |
| [24] |
HAMMEL P, HUGUET F, VAN LAETHEM J L, et al. Effect of chemoradiotherapy vs. chemotherapy on survival in patients with locally advanced pancreatic cancer controlled after 4 months of gemcitabine with or without erlotinib: the LAP07 randomized clinical trial[J]. JAMA, 2016, 315(17):1844-1853.
doi: 10.1001/jama.2016.4324 URL |
| [25] |
RAINER FIETKAU, MICHAEL GHADIMI, UWE A WITTEL, et al. Randomized phase Ⅲ trial of induction chemotherapy followed by chemoradiotherapy or chemotherapy alone for nonresectable locally advanced pancreatic cancer: first results of the CONKO-007 trial[J]. J Clin Oncol, 2022, 40(16):4008.
doi: 10.1200/JCO.2022.40.16_suppl.4008 URL |
| [26] |
TORGESON A, LLOYD S, BOOTHE D, et al. Multiagent induction chemotherapy followed by chemoradiation is associated with improved survival in locally advanced pancreatic cancer[J]. Cancer, 2017, 123(19):3816-3824.
doi: 10.1002/cncr.30780 pmid: 28621885 |
| [27] |
FAISAL F, TSAI H L, BLACKFORD A, et al. Longer course of induction chemotherapy followed by chemoradiation favors better survival outcomes for patients with locally advanced pancreatic cancer[J]. Am J Clin Oncol, 2016, 39(1):18-26.
doi: 10.1097/COC.0000000000000022 URL |
| [28] |
SAIF A, VERBUS E, ERICKSON B, et al. A randomized, phase Ⅱ, clinical trial of preoperative fractionated radiation therapy versus stereotactic body radiation therapy for resectable, borderline resectable, or locally advanced type a pancreatic adenocarcinoma[J]. Ann Surg Oncol, 2023, 30(2):688-690.
doi: 10.1245/s10434-022-12742-3 |
| [29] |
BARCELLINI A, MOLINELLI S, VANOLI A, et al. Preoperative chemo-CIRT in Re/BRe pancreatic cancer: insights from a multicenter prospective phase Ⅱ clinical study (NCT03822936)[J]. Tumori, 2024, 110(6):470-474.
doi: 10.1177/03008916241291341 URL |
| [30] |
SUGIURA T, TOYAMA H, FUKUTOMI A, et al. Randomized phase Ⅱ trial of chemoradiotherapy with S-1 versus combination chemotherapy with gemcitabine and S-1 as neoadjuvant treatment for resectable pancreatic cancer (JASPAC 04)[J]. J Hepatobiliary Pancreat Sci, 2023, 30(11):1249-1260.
doi: 10.1002/jhbp.v30.11 URL |
| [1] | WANG Zhibo, WANG Bin. Advances in the research,diagnosis and treatment of Proteus syndromeindenta tion and adhesion [J]. Journal of Tissue Engineering and Reconstructive Surgery, 2025, 21(3): 305-. |
| [2] | YU Liqin, YAN Xiaoyu, WANG Puxiongzhi, WANG Wei, WANG Jian. Current status and reflections on immunotherapy and targeted therapy for unresectable biliary tract cancer [J]. Journal of Surgery Concepts & Practice, 2025, 30(06): 544-550. |
| [3] | MAO Liang, QIU Yudong. Application progress of artificial intelligence in preoperative diagnosis of pancreatic cancer [J]. Journal of Surgery Concepts & Practice, 2025, 30(06): 479-482. |
| [4] | YIN Jie, JIANG Kuirong. Clinical experience with arterial resection during radical resection for pancreatic cancer [J]. Journal of Surgery Concepts & Practice, 2025, 30(06): 469-473. |
| [5] | WEN Chenlei, ZOU Siyi, LI Fanlu, ZHAN Qian, SHEN Baiyong. Interpretation of the Asian Consensus on systemic therapy for pancreatic ductal adenocarcinoma [J]. Journal of Surgery Concepts & Practice, 2025, 30(06): 461-468. |
| [6] | HUANG Man, DING Shuo. Current status and challenges in sepsis diagnosis and treatment [J]. Journal of Diagnostics Concepts & Practice, 2025, 24(06): 583-592. |
| [7] | ZHANG Yao, HAN Ting, WANG Yu, WANG Chunyan, XIAO Xiuying. Research progress on peripheral neuropathy related to tumor immunotherapy [J]. Journal of Internal Medicine Concepts & Practice, 2025, 20(05): 388-392. |
| [8] | JIN Jiabin, MA Junjun, YE Feng, MA Shiyu, CHEN Jingxian. Investigation of the mechanism of Huaier (Vanderbylia robiniophila) anti-pancreatic cancer based on network pharmacology, molecular docking, and two-sample Mendelian randomization analysis [J]. Journal of Surgery Concepts & Practice, 2025, 30(03): 247-255. |
| [9] | YANG Ziyun, YAO Weiyan. Construction of necroptosis-related lncRNA risk model of pancreatic cancer based on bioinformatics [J]. Journal of Internal Medicine Concepts & Practice, 2025, 20(03): 232-241. |
| [10] | DU Yajie, WANG Mingfei, LIN Maosong. KIAA1429 inhibits colorectal cancer tumor immunity by regulating PD-L1 and CD8+ T cell [J]. Journal of Diagnostics Concepts & Practice, 2025, 24(03): 301-311. |
| [11] | LIAO Zhenyu, ZHU Wenxin, YAN Jiqi. Research progress on the immune microenvironment and immunotherapy of thyroid cancer [J]. Journal of Surgery Concepts & Practice, 2025, 30(02): 165-170. |
| [12] | LIU Kun, GUO Wei. Prevention and management of immune-related adverse events for biliary tract cancers [J]. Journal of Surgery Concepts & Practice, 2025, 30(02): 112-119. |
| [13] | LI Chun, MA Zuyi, SUN Jia, LI Binglu. Systemic therapy for advanced cholangiocarcinoma: divergences in global guidelines and regional clinical implementation [J]. Journal of Surgery Concepts & Practice, 2025, 30(02): 93-100. |
| [14] | LE Sen, ZUO Yue, DENG Zhengdong, WANG Jianming. Controversial points in the surgical treatment of gallbladder cancer with delayed diagnoses [J]. Journal of Surgery Concepts & Practice, 2025, 30(02): 106-111. |
| [15] | XU Jingshu, SHI Jianhua, GU Haiyan, CHEN Lei, QIAN Xiaolin, LU Lu, NIU Deng. Trends analysis of pancreatic cancer mortality in Xuhui district, Shanghai from 1992 to 2021 [J]. Journal of Surgery Concepts & Practice, 2025, 30(01): 34-40. |
| Viewed | ||||||
|
Full text |
|
|||||
|
Abstract |
|
|||||