Will advanced pancreatic cancer recur

summary

Three years ago, it was pancreatic cancer, and then we had surgery. After the end of this year, we had fever. After examination, we found that the cancer had metastasized to the liver and had fever again. After 20 days in the hospital, we now have swollen feet and face. Today, let me tell you about the problem of whether the advanced pancreatic cancer will recur.

Will advanced pancreatic cancer recur

First, the risk of postoperative recurrence is relatively high. Most patients with pancreatic cancer are weak and have low immunity,

Second, only 10% - 20% of the patients can have radical resection. Even if the patients have radical resection, about 50% - 70% of them will have recurrence within one year. The 5-year survival rate of pancreatic cancer has been lower than 5% in recent 20 years. The 5-year survival rate of patients with advanced pancreatic cancer is less than 1%, and the prognosis is very poor. Therefore, pancreatic cancer is known as "the king of cancer".

Third, clinical studies have found that peripancreatic retroperitoneal nerve invasion is an important risk factor for recurrence and survival of pancreatic cancer. At present, about 50% of the retroperitoneal margin of pancreatic head cancer has not reached the negative margin, that is, the invaded nerve and soft tissue has not been completely cleaned. The residual cancer cells in the retroperitoneal nerve tissue around the pancreas may be an important reason for the recurrence of pancreatic cancer and affect the long-term survival.

matters needing attention

It is expected to improve the postoperative survival of patients with pancreatic cancer by standardized radical dissection of the nerve plexus in the 5 groups of peripancreatic retroperitoneum.