Pancreatic Cancer: Current Concepts, Trends, and Future Directions

Pancreatic ductal adenocarcinoma (PC) ranks among the deadliest cancers, with a less than 15% 5-year survival rate. Epidemiological studies project that it will become the second leading cause of cancer-associated mortalities in the following decades. The hallmarks of pancreatic cancer lead to tumor...

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Main Authors: Patrick Wenzel, Carolin Mogler, Kıvanç Görgülü, Hana Algül
Format: Article
Language:English
Published: AVES 2025-02-01
Series:The Turkish Journal of Gastroenterology
Online Access:https://www.turkjgastroenterol.org/en/pancreatic-cancer-current-concepts-trends-and-future-directions-137296
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author Patrick Wenzel
Carolin Mogler
Kıvanç Görgülü
Hana Algül
author_facet Patrick Wenzel
Carolin Mogler
Kıvanç Görgülü
Hana Algül
author_sort Patrick Wenzel
collection DOAJ
description Pancreatic ductal adenocarcinoma (PC) ranks among the deadliest cancers, with a less than 15% 5-year survival rate. Epidemiological studies project that it will become the second leading cause of cancer-associated mortalities in the following decades. The hallmarks of pancreatic cancer lead to tumor aggressiveness and therapeutic resistance. For this reason, the field has been focusing on multiple dimensions to generate better therapeutic approaches, including new adjuvant, neoadjuvant, and palliative concepts to extend the survival of PC patients. Over the last 2 decades, clinical trials have significantly improved disease prognosis and patient survival. To achieve better outcomes and to deeply understand the therapeutic approaches, molecular tumor boards have become crucial for deeper exploitation of tumor genetics and tumor biology, providing better stratification markers for therapeutic regimens. Using recently developed targeted therapies, such as KRAS inhibitors, the field has gathered momentum and been tooled up with the help of new sequencing technologies. Therefore, researchers and clinicians have geared up for the battle against PC. This review will systematically discuss recent developments in adjuvant, neoadjuvant, and palliative treatment modalities. Moreover, the paradigm-shifting importance of genetic profiling on pancreatic cancer. will be explained through a showcase to frame future directions.
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institution Kabale University
issn 2148-5607
language English
publishDate 2025-02-01
publisher AVES
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series The Turkish Journal of Gastroenterology
spelling doaj-art-3a0bd8b7a16a4f4295ca245420c7d5182025-02-10T12:58:10ZengAVESThe Turkish Journal of Gastroenterology2148-56072025-02-01362698110.5152/tjg.2024.24544Pancreatic Cancer: Current Concepts, Trends, and Future DirectionsPatrick Wenzel0https://orcid.org/0009-0003-9570-3576Carolin Mogler1https://orcid.org/0000-0003-3400-7254Kıvanç Görgülü2https://orcid.org/0000-0002-1613-1422Hana Algül3https://orcid.org/0000-0002-5067-7031Comprehensive Cancer Center Munich TUM, TUM University Hospital, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany ; Internal Medicine II, TUM University Hospital, Klinikum rechts der Isar, Technical University of Munich, Munich, GermanyComprehensive Cancer Center Munich TUM, TUM University Hospital, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany ; Institute for Pathology, TUM University Hospital, Klinikum rechts der Isar, Technical University of Munich, Munich, GermanyComprehensive Cancer Center Munich TUM, TUM University Hospital, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany ; Institute for Tumor Metabolism, TUM University Hospital, Klinikum rechts der Isar, Technical University of Munich, Munich, GermanyComprehensive Cancer Center Munich TUM, TUM University Hospital, Klinikum rechts der Isar, Technical University of Munich, Munich, Germany ; Institute for Tumor Metabolism, TUM University Hospital, Klinikum rechts der Isar, Technical University of Munich, Munich, GermanyPancreatic ductal adenocarcinoma (PC) ranks among the deadliest cancers, with a less than 15% 5-year survival rate. Epidemiological studies project that it will become the second leading cause of cancer-associated mortalities in the following decades. The hallmarks of pancreatic cancer lead to tumor aggressiveness and therapeutic resistance. For this reason, the field has been focusing on multiple dimensions to generate better therapeutic approaches, including new adjuvant, neoadjuvant, and palliative concepts to extend the survival of PC patients. Over the last 2 decades, clinical trials have significantly improved disease prognosis and patient survival. To achieve better outcomes and to deeply understand the therapeutic approaches, molecular tumor boards have become crucial for deeper exploitation of tumor genetics and tumor biology, providing better stratification markers for therapeutic regimens. Using recently developed targeted therapies, such as KRAS inhibitors, the field has gathered momentum and been tooled up with the help of new sequencing technologies. Therefore, researchers and clinicians have geared up for the battle against PC. This review will systematically discuss recent developments in adjuvant, neoadjuvant, and palliative treatment modalities. Moreover, the paradigm-shifting importance of genetic profiling on pancreatic cancer. will be explained through a showcase to frame future directions.https://www.turkjgastroenterol.org/en/pancreatic-cancer-current-concepts-trends-and-future-directions-137296
spellingShingle Patrick Wenzel
Carolin Mogler
Kıvanç Görgülü
Hana Algül
Pancreatic Cancer: Current Concepts, Trends, and Future Directions
The Turkish Journal of Gastroenterology
title Pancreatic Cancer: Current Concepts, Trends, and Future Directions
title_full Pancreatic Cancer: Current Concepts, Trends, and Future Directions
title_fullStr Pancreatic Cancer: Current Concepts, Trends, and Future Directions
title_full_unstemmed Pancreatic Cancer: Current Concepts, Trends, and Future Directions
title_short Pancreatic Cancer: Current Concepts, Trends, and Future Directions
title_sort pancreatic cancer current concepts trends and future directions
url https://www.turkjgastroenterol.org/en/pancreatic-cancer-current-concepts-trends-and-future-directions-137296
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AT kıvancgorgulu pancreaticcancercurrentconceptstrendsandfuturedirections
AT hanaalgul pancreaticcancercurrentconceptstrendsandfuturedirections