Redefining Upfront Resectable Pancreatic Ductal Adenocarcinoma: Should Vein Abutment Matter?

In this largest cohort to date of patients with upfront resectable PDAC, PMV abutment was associated with worse OS compared with no PMV abutment when an upfront resection strategy was used. The use of NAT in patients with PMV abutment mitigated this survival difference with increased R0 resection rates. These findings suggest that patients with upfront resectable PDAC with PMV abutment benefit from a NAT approach for optimal survival outcomes, and that the current criteria guidelines need to be redefined.

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Publication Details

Journal
Journal of the National Comprehensive Cancer Network
Published
2026-02-01
DOI
https://doi.org/10.6004/jnccn.2025.7097
Primary Topic
Pancreatic and Hepatic Oncology Research
Type
article
Field-Weighted Citation Impact
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article

Redefining Upfront Resectable Pancreatic Ductal Adenocarcinoma: Should Vein Abutment Matter?

Po Hong Tan, M. Truty, Katherine E. Poruk, Michelle R. Huyser et al.
Journal of the National Comprehensive Cancer Network
Pancreatic and Hepatic Oncology Research
article

Redefining Upfront Resectable Pancreatic Ductal Adenocarcinoma: Should Vein Abutment Matter?

Po Hong Tan, M. Truty, Katherine E. Poruk, Michelle R. Huyser, R. Smoot, M. Kendrick, Richard J. Bold, R. Miller, Melody Pi Yin Tu, Hoe Yan Hor, Cornelius A. Thiels, _ _, Chee-Chee Stucky, Nabil Wasif, John A. Stauffer, Susanne G. Warner, Patrick P. Starlinger
article en

Abstract

In this largest cohort to date of patients with upfront resectable PDAC, PMV abutment was associated with worse OS compared with no PMV abutment when an upfront resection strategy was used. The use of NAT in patients with PMV abutment mitigated this survival difference with increased R0 resection rates. These findings suggest that patients with upfront resectable PDAC with PMV abutment benefit from a NAT approach for optimal survival outcomes, and that the current criteria guidelines need to be redefined.

Journal of the National Comprehensive Cancer NetworkVol. 24(2)
WinnMed (US), Mayo Clinic in Arizona (US), Mayo Clinic in Florida (US)
Openalex Percentile: Top 61%
Pancreatic and Hepatic Oncology Research
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