Pancreatic Ductal Adenocarcinoma (PDAC)
Patient Condition
Jaundiced, terra-like stools for 2 weeks, and itchy skin. CA19-9: 2,100 U/mL。CT/MRI showed a 4.1-cm mass in the pancreatic head and obstruction at the lower end of the common bile duct. Pancreatic ductal adenocarcinoma T2N1M0 was diagnosed.
Treatment Timeline
| Phase | Details | Date |
|---|---|---|
| preoperative biliary drainage | ||
| preoperative evaluation | ||
| surgical treatment | ||
| postoperative chemotherapy |
Treatment Outcome
| before | CA19 -9: 2,100 U/mL, pancreatic head occupying 4.1 cm, T2N1M0, obvious jaundice, TBil 285 μmol/L |
|---|---|
| after | CA19 -9 dropped to 112 U/mL (95% decrease), DFS 20 months, OS ongoing follow-up |
| highlight | Modified FOLFIRINOX adjuvant chemotherapy, R0 resection, DFS 20 months |