Pancreatic cancer from bench to bedside: molecular pathways and treatment options

Christoforos Kosmidis1, Konstantinos Sapalidis1, Efstathios Kotidis1

  • 11 3rd Department of Surgery, AUTH, University General Hospital of Thessaloniki AHEPA, Thessaloniki, Greece ; 2 Pulmonary Department-Oncology Unit, "G. Papanikolaou" General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece ; 3 Department of Oncology, Interbalkan Medical Center of Thessaloniki, Thessaloniki, Greece ; 4 Research Laboratory and International Collaboration, Bon Secours Cancer Institute, VA, USA.

Insights

Despite advances, pancreatic cancer treatment still requires novel drugs, with a 5% five-year survival rate. Early diagnosis and surgery offer the best outcomes, but translating biological insights into patient benefits remains a key challenge.

Area of Science:

  • Oncology
  • Gastroenterology
  • Molecular Biology

Background:

  • Pancreatic cancer treatment has seen limited progress over 40 years, with a persistent 5% five-year survival rate.
  • Early diagnosis and surgical resection remain the most effective treatment strategies for pancreatic cancer.
  • Recent decades have significantly advanced the understanding of pancreatic cancer biology, identifying novel therapeutic targets.

Purpose of the Study:

  • To provide a comprehensive overview of pancreatic cancer, from diagnosis to future therapeutic strategies.
  • To review current and emerging treatment options based on molecular pathway exploration.
  • To highlight the challenges in translating biological discoveries into improved patient outcomes.

Main Methods:

  • Literature review of pancreatic cancer research over the past four decades.
  • Analysis of diagnostic criteria and prognostic factors.
  • Exploration of molecular pathways implicated in pancreatic cancer development and progression.

Main Results:

  • Surgery is the optimal treatment for early-stage pancreatic cancer.
  • Novel therapeutic agents, including tyrosine kinase inhibitors and vaccines, represent emerging treatment perspectives.
  • Significant challenges persist in translating fundamental research into tangible improvements in patient survival rates.

Conclusions:

  • Continued research into pancreatic cancer biology is crucial for developing more effective treatments.
  • Translating molecular insights into clinical practice is essential to improve patient outcomes and survival.
  • A multi-faceted approach combining early diagnosis, surgery, and novel therapeutic strategies is necessary for advancing pancreatic cancer care.

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