At our clinic, we classify pancreatic cancer based on the treatment options available to our patients. This classification is recommended by the National Comprehensive Cancer Network (NCCN) guidelines, but we have simplified and tailored the process to ensure what we call our “zero miss” treatment policy.
Here is our policy explained in detail:
From Treatable to Controllable: The Four Classes of Pancreatic Cancer
We classify pancreatic cancer into four categories, ranging from those that can be treated surgically to those that can be controlled with other therapies. Understanding these categories helps in planning the most effective treatment for each patient.
1. Resectable Pancreatic Head Cancer
A resectable pancreatic head cancer is one where the tumor is not close to or adherent to the blood vessels that run behind the neck of the pancreas, specifically the superior mesenteric vein and the superior mesenteric artery. This means the cancer can be removed surgically with a higher likelihood of success.
2. Borderline Resectable Pancreatic Head Cancer
A borderline resectable pancreatic head cancer lies close to the veins and the segment behind the pancreatic neck. The tumor’s approximation angle on the artery should be less than 180 degrees. At our center, the Pancreatic Cancer Research and Referral Center (PCRRC), we consider all levels of venous involvement as suitable for surgical control of the disease. However, we classify these lesions as borderline resectable to ensure that we follow the same pre-surgical treatments for these patients, enhancing the chances of a successful surgery.
3. Locally Advanced Pancreatic Head Cancer
Locally advanced pancreatic head cancer is when the tumor has grown into nearby structures or major blood vessels, making it impossible to remove surgically at the outset. In such cases, we often use a combination of treatments, such as chemotherapy and radiation, to try to shrink the tumor and control its growth. The goal is to manage the disease and potentially make surgery possible in the future.
4. Metastatic Pancreatic Head Cancer
Metastatic pancreatic head cancer means the cancer has spread to other parts of the body, such as the liver or lungs. At this stage, the cancer cannot be cured with surgery. Treatment focuses on controlling the disease, relieving symptoms, and improving quality of life. This often involves chemotherapy, targeted therapies, and supportive care.
Conclusion
Classifying pancreatic cancer accurately is essential for planning the most effective treatment. By following the NCCN guidelines and our refined classification system, we ensure that every patient receives the best possible care tailored to their specific situation. Our “zero miss” policy aims to leave no stone unturned in the fight against pancreatic cancer, offering hope and extending lives through precise and personalized treatment plans.