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Risk Factors for Early Disease-Related Mortality Among Patients with Localized Pancreatic Cancer Resected After Neoadjuvant Treatment - PubMed

4 hours ago
  • #Pancreatic Cancer
  • #Early Mortality
  • #Neoadjuvant Treatment
  • Study focuses on identifying risk factors for early disease-related mortality within 1-year post-surgery in localized pancreatic cancer patients after neoadjuvant treatment (NAT).
  • Retrospective analysis of 418 patients who underwent radical resection for pancreatic ductal adenocarcinoma (PDAC) after at least 3-months of NAT.
  • Early-death (ED) defined as disease-related mortality within 12-months of surgery, excluding surgery-related mortality.
  • Key findings: Radiological tumor size ≥ 25 mm and CA19-9 ≥ 100 U/mL were independently associated with ED.
  • Associations confirmed in an external cohort of 473 patients.
  • Conclusions: Post-treatment CA19-9 ≥ 100 U/mL and tumor size ≥ 25 mm are warning signs for early-death, important for surgical decision-making and preoperative counseling.