Stage III pancreatic cancer and the role of irreversible electroporation

BMJ : British Medical Journal
Mohammad Al EfishatM J Weiss

Abstract

About a third of patients with pancreatic cancer present with locally advanced disease that is not amenable to resection. Because these patients have localized disease, conventional ablative therapies (thermal ablation and cryoablation) have the potential to be beneficial, but their use is inherently limited in the pancreas. These limitations could be overcome by irreversible electroporation-a novel, non-thermal ablative method that is gaining popularity for the treatment of many soft tissue tumors, including those of the pancreas. This review summarizes the status of this technique in the treatment of locally advanced pancreatic cancer. Most of the evidence on efficacy and safety is based on non-randomized prospective series, which show that irreversible electroporation may improve overall survival and pain control in locally advanced pancreatic cancer. As experience with this procedure increases, randomized controlled trials are needed to document its efficacy in locally advanced pancreatic cancer more precisely.

Citations

Sep 10, 2015·Technology in Cancer Research & Treatment·Matilde TschonMilena Fini
Feb 11, 2016·World Journal of Clinical Oncology·Rosella SpadiMaria Antonietta Satolli
Jun 17, 2020·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Pabos CharalambousAthanasios Petrou
May 16, 2021·Journal of Biomechanical Engineering·Zheng FangBing Zhang
May 13, 2021·American Journal of Clinical Oncology·Dimitrios OikonomouEvangelos Felekouras

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