Journal of Pancreatology (Jun 2021)

Guidelines for the diagnosis and treatment of pancreatic cancer in China (2021)

  • Yinmo Yang,
  • Xueli Bai,
  • Dapeng Bian,
  • Shouwang Cai,
  • Rufu Chen,
  • Feng Cao,
  • Menghua Dai,
  • Chihua Fang,
  • Deliang Fu,
  • Chunlin Ge,
  • Xiaochao Guo,
  • Chunyi Hao,
  • Jihui Hao,
  • Heguang Huang,
  • Zhixiang Jian,
  • Gang Jin,
  • Fei Li,
  • Haimin Li,
  • Shengping Li,
  • Weiqin Li,
  • Yixiong Li,
  • Hongzhen Li,
  • Tingbo Liang,
  • Xubao Liu,
  • Wenhui Lou,
  • Yi Miao,
  • Yiping Mou,
  • Chenghong Peng,
  • Renyi Qin,
  • Chenghao Shao,
  • Bei Sun,
  • Guang Tan,
  • Xiaodong Tian,
  • Huaizhi Wang,
  • Lei Wang,
  • Wei Wang,
  • Weilin Wang,
  • Junmin Wei,
  • Heshui Wu,
  • Wenming Wu,
  • Zheng Wu,
  • Jingyong Xu,
  • Changqing Yan,
  • Xiaoyu Yin,
  • Xianjun Yu,
  • Chunhui Yuan,
  • Taiping Zhang,
  • Jixin Zhang,
  • Jun Zhou,
  • Yupei Zhao,
  • on behalf of the Chinese Pancreatic Surgery Association

DOI
https://doi.org/10.1097/JP9.0000000000000072
Journal volume & issue
Vol. 4, no. 2
pp. 49 – 66

Abstract

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Abstract. The incidence of pancreatic cancer has been rising worldwide, and its clinical diagnosis and treatment remain a great challenge. To present the update and improvements in the clinical diagnosis and treatment of pancreatic cancer in recent years, Chinese Pancreatic Association, the Chinese Society of Surgery, Chinese Medical Association revised the Guidelines for the Diagnosis and Treatment of Pancreatic Cancer in China (2014) after reviewing evidence-based and problem-oriented literature published during 2015–2021, mainly focusing on highlight issues regarding diagnosis and surgical treatment of pancreatic cancer, conversion strategies for locally advanced pancreatic cancer, treatment of pancreatic cancer with oligo metastasis, adjuvant and neoadjuvant therapy, standardized processing of surgical specimens and evaluation of surgical margin status, systemic treatment for unresectable pancreatic cancer, genetic testing, as well as postoperative follow up of patients with pancreatic cancer. Forty recommendation items were finally proposed based on the above issues, and the quality of evidence and strength of recommendations were graded using the Grades of Recommendation, Assessment, Development, and Evaluation system. This guideline aims to standardize the clinical diagnosis and therapy, especially surgical treatment of pancreatic cancer in China, and further improve the prognosis of patients with pancreatic cancer.