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SWISS TUMOR BOARD Pancreatic Cancer March 26, 2009 Novotel Bern. Prof. Dr. Mahmut Ozsahin. Lausanne University Medical Center (CHUV), Lausanne. Case #3 P. Abitabile, C.A. Maurer. 69-yr-old man June 07: Whipple, R1 August 07 – April 08: gemcitabine chemotherapy with some side effects
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SWISS TUMOR BOARDPancreatic CancerMarch 26, 2009Novotel Bern Prof. Dr. Mahmut Ozsahin Lausanne University Medical Center (CHUV), Lausanne
Case #3P. Abitabile, C.A. Maurer • 69-yr-old man • June 07: Whipple, R1 • August 07 – April 08: gemcitabine chemotherapy with some side effects • December 08: hepatic segment VI lesion, no local recurrence • Good performance status (peripheral neuropathy, chronic renal insufficiency) • Conlusion: Patient may receive preoperative chemotherapy but peripheral neuropathy and renal problem. • Thus, if possible, surgery. If not, radiofrequency ablation • Extracranial stereotactic radiosurgery/radiotherapy may also be an option
Extracranial stereotactic radiosurgery Cyberknife, Novalis, etc