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Published on: February 2, 2024
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.
Abstract:
In the last forty years the pancreatic cancer treatment has made advances, however; still novel drugs are needed. It is known that the five year survival rate remains around 5%. The best treatment option still remains surgery, if patients are diagnosed early. In the last decade the biology of pancreatic cancer has been vastly explored and novel agents such as; tyrosine kinase agents, or vaccines have been added as a treatment perspective. The big challenge is now to translate this knowledge in better outcomes for patients. In this current review we will present information from pancreatic cancer diagnosis to molecular pathways and treatment options; current and future.
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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