title: Personal observations, opinions, and approaches to cancer of the pancreas and the periampullary area.
abstract: This article reviews the diagnosis, staging, surgical, and adjuvant treatment of pancreatic and periampullary cancer based on personal experience covering 25 years. In spite of remarkable progress, especially in regard to staging and surgical treatment, the authors conclude that with the modalities currently available, timely diagnosis and definitive cure of this particular cancer is rare.
authors.affiliation: Surgical Clinic Mannheim, University of Heidelberg, Mannheim, Germany. michael.trede@chir.ma.uni-heidelberg.de
authors.forename: M
authors.initials: M
authors.lastname: Trede
authors.forename: A
authors.initials: A
authors.lastname: Richter
authors.forename: K
authors.initials: K
authors.lastname: Wendl
mesh_terms: D000328:Adult; D000368:Aged; D000465:Algorithms; D014670:Ampulla of Vater / Q000601:surgery; D000970:Antineoplastic Agents / Q000627:therapeutic use; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D010190:Pancreatic Neoplasms / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery*; D016577:Pancreaticoduodenectomy
chemical_list: D000970:Antineoplastic Agents