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Stereotactic body radiotherapy in pancreatic adenocarcinoma

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Background:Stereotactic body radiotherapy(SBRT)in pancreatic cancer allows high delivery of radiation doses on tumors without affecting surrounding tissue.This review aimed at the SBRT application in the treatment of pancreatic cancer.Data sources:We retrieved articles published in MEDLINE/PubMed from January 2017 to December 2022.Keywords used in the search included:"pancreatic adenocarcinoma"OR"pancreatic cancer"AND"stereo-tactic ablative radiotherapy(SABR)"OR"stereotactic body radiotherapy(SBRT)"OR"chemoradiotherapy(CRT)".English language articles with information on technical characteristics,doses and fractionation,indications,recurrence patterns,local control and toxicities of SBRT in pancreatic tumors were included.All articles were assessed for validity and relevant content.Results:Optimal doses and fractionation have not yet been defined.However,SBRT could be the standard treatment in patients with pancreatic adenocarcinoma in addition to CRT.Furthermore,the combination of SBRT with chemotherapy may have additive or synergic effect on pancreatic adenocarcinoma.Conclusions:SBRT is an effective modality for patients with pancreatic cancer,supported by clinical prac-tice guidelines as it has demonstrated good tolerance and good disease control.SBRT opens a possibility of improving outcomes for these patients,both in neoadjuvant treatment and with radical intent.

Carolina de la Pinta

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Radiation Oncology Department,Ramón y Cajal University Hospital,IRYCIS,Alcalá University,28034 Madrid,Spain

2024

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国际肝胆胰疾病杂志(英文版)
浙江省医学学术交流管理中心,浙江大学医学院附属第一医院,浙江大学出版社有限责任公司

国际肝胆胰疾病杂志(英文版)

影响因子:0.668
ISSN:1499-3872
年,卷(期):2024.23(1)
Carolina de la Pinta.Stereotactic body radiotherapy in pancreatic adenocarcinoma[J].国际肝胆胰疾病杂志(英文版),2024,23(1):14-19.DOI:10.1016/j.hbpd.2023.03.002.
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