Palliative therapy for pancreatic/biliary cancer.
Palliative treatment for unresectable pancreatic and biliary cancer is most typically directed at symptoms of local invasion, including obstructive jaundice, duodenal obstruction, and cancer-related pain. Surgical and nonsurgical therapeutic options should be considered depending on the individual situation. As with all treatment planning, palliative therapy should be planned using a multidisciplinary approach, including input from the surgeon, gastroenterologist,radiologist, and medical and radiation oncologist.
House
Michael G
MG
Department of Surgery, The Johns Hopkins University School of Medicine, 600 North Wolfe Street, Baltimore, MD 21287, USA.
Choti
Michael A
MA
D001661:Biliary Tract Neoplasms / Q000401:mortality* / Q000473:pathology / Q000601:surgery*; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods; D004322:Drainage / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D010147:Pain Measurement; D010148:Intractable Pain / Q000175:diagnosis / Q000628:therapy; D010166:Palliative Care / Q000379:methods*; D010180:Pancreatectomy / Q000379:methods; D010190:Pancreatic Neoplasms / Q000401:mortality* / Q000473:pathology / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000379:methods; D011788:Quality of Life; D018570:Risk Assessment; D016019:Survival Analysis; D019452:Terminally Ill