Prognostic factors in patients with locally advanced (unresectable) or metastatic pancreatic adenocarcinoma: a retrospective analysis.

Abstract:

BACKGROUND:Most patients with pancreatic adenocarcinoma are diagnosed with locally advanced (unresectable) or metastatic disease. The aim of this study was to investigate possible prognostic factors of survival in such patients. PATIENTS AND METHODS:Two hundred and fifteen patients were studied retrospectively. Twenty-four potential prognostic variables (demographics, clinical parameters, biochemical markers, treatment modality) were examined. RESULTS:Mean survival was 29.0 weeks. 21.9% survived more than 36 weeks. On multivariate analysis, 10 factors had an independent effect on survival: tumour localisation, metastasis, performance status, jaundice, weight loss, C reactive protein, CEA, CA 19-9, palliative surgery and chemotherapy. Patients managed only with palliative care had a hazard ratio of 8.94 versus those offered a combination of palliative surgery and chemotherapy. CONCLUSION:Many factors could be used as predictors of survival in patients with advanced or metastatic pancreatic cancer. Chemotherapy and palliative surgery are associated with increased survival, and should be offered to all eligible patients.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Papadoniou N,Kosmas C,Gennatas K,Polyzos A,Mouratidou D,Skopelitis E,Tzivras M,Sougioultzis S,Papastratis G,Karatzas G,Papalambros E,Tsavaris N

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

543-9

issue

1B

eissn

0250-7005

issn

1791-7530

journal_volume

28

pub_type

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