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A patient presenting with painless jaundice 

A patient presenting with painless jaundice
Chapter:
A patient presenting with painless jaundice
Author(s):

Elizabeth Liniker

, Simon Johnston

, Sara Custodio-Cabello

, and Bristi Basu

DOI:
10.1093/med/9780199664535.003.0011
Page of

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date: 20 August 2019

Pancreatic cancer is one of the most aggressive cancers with only 4% of patients are alive 5 years after diagnosis. 80-85% of patients present with advanced unresectable disease. Even completely resected pancreatic cancers have a poor prognosis with 5-year survival of 20-25% and median survival between 10-20 months. Adjuvant chemotherapy after a curative resection improves 5-year survival from <10%-20%. Role of chemoradiotherapy in locally advanced pancreatic cancer is evolving. In patients with unresectable/metastatic tumours treatment is essentially palliative including systemic treatment with gemcitabine.

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