Stereotactic body radiation therapy as an emerging option for localized pancreatic cancer

Rachit Kumar, Lauren M. Rosati, Joseph M. Herman

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Localized pancreatic cancer remains a therapeutic challenge despite advances in multiple treatment techniques. In patients with borderline resectable and unresectable (locally advanced) pancreatic cancer, stereotactic body radiation therapy (SBRT) has emerged as a promising treatment option. Potential benefits include shorter treatment duration and increased patient convenience, encouraging surgical outcomes, lower acute toxicity, and reduced delay of chemotherapy. In the last decade, multiple retrospective reports have been published on this technique. More recently, prospective assessment of SBRT in pancreatic cancer has demonstrated increased resectability of previously unresectable lesions, as well as lower rates of margin-positive resections. As a higher dose of radiation is utilized, however, this technique requires careful patient selection and treatment planning to ensure safety. In this chapter, the published literature using SBRT in pancreatic cancer, along with treatment recommendations and contraindications, is presented. Long-term data regarding SBRT is forthcoming and may result in the adoption of this technique not only as an adequate option, but also as the future standard-of-care.

Original languageEnglish (US)
Title of host publicationMultimodality Management of Borderline Resectable Pancreatic Cancer
PublisherSpringer International Publishing
Pages125-141
Number of pages17
ISBN (Electronic)9783319227801
ISBN (Print)9783319227795
DOIs
StatePublished - Dec 10 2015

Keywords

  • Borderline
  • Borderline resectable
  • Carcinoma
  • Localized
  • Locally advanced
  • Non-metastatic
  • Pancreas cancer
  • Pancreatic cancer
  • Radiation
  • Radiotherapy
  • SABR
  • SBRT
  • Stereotactic
  • Unresectable

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Kumar, R., Rosati, L. M., & Herman, J. M. (2015). Stereotactic body radiation therapy as an emerging option for localized pancreatic cancer. In Multimodality Management of Borderline Resectable Pancreatic Cancer (pp. 125-141). Springer International Publishing. https://doi.org/10.1007/978-3-319-22780-1_8