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Prognostic significance of residual lymphovascular invasion after resection of locally advanced and borderline resectable pancreatic adenocarcinomas treated by neoadjuvant chemotherapy

HPB Jan 20, 2021

Addeo P, Fattori A, Grunder C, et al. - Researchers aimed at determining the histological prognostic factors following resection of locally advanced (LA) and borderline (BL) pancreatic adenocarcinomas treated by neoadjuvant chemotherapy (NC). They performed a retrospective review of 84 patients with LA (n = 55) and BL (n = 29) adenocarcinomas operated on following NC. A median overall survival of 21.10 months was reported following surgery; 1-, 3-, and 5-year overall survival rates were 73%, 32%, and 20%, respectively. Lymphovascular invasion (LVI) was identified to be an independent prognostic factor for overall survival. Poor response and limited long-term survival were observed in correlation with the persistence of LVI at pathology following resection of LA and BL treated by neoadjuvant chemotherapy.

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