Localized pancreatic cancer with positive peritoneal cytology as a sole manifestation of metastatic disease: a single-institution experience

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• 作者：Stephen Y. Oh ; M.B.B.S. ; B.Sc.^a ; Alicia Edwards ; M.B.A.^a ; Margaret T. Mandelson ; Ph.D.^b ; Hejin Hahn ; M.D.^c ; Adnan Alseidi ; M.D.^d ; Thomas Biehl ; M.D.^d ; Richard A. Kozarek ; M.D.^a ; Flavio G. Rocha ; M.D.^d ; Scott Helton ; M.D.^d ; Vincent J. Picozzi ; M.D.^e ; ^{Vincent.Picozzi@virginiamason.org}
• 关键词：Cancer staging ; Laparoscopy ; Peritoneal washing ; Chemoradiation ; Disease progression ; Survival
• 刊名：The American Journal of Surgery
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：213
• 期：1
• 页码：94-99
• 全文大小：452 K
• 卷排序：213

文摘

Patients with pancreatic cancer and positive peritoneal cytology as a sole metastatic site form a unique subset of this disease. In our institutional experience, such patients are not associated with long-term disease-free survival, even when chemoradiation is used. However, these patients do display improved overall survival compared with our institutional cohort of patients with gross metastatic disease. Laparoscopic evaluation for cytology is an important staging tool for all patients with localized pancreatic cancer.