Pankreas Kanserli Hastalarýmýzýn Genel Özellikleri ve Saðkalým Sonuçlarý

Eighty six patients with pancreatic cancer treated at Radiation Oncology Department of Ankara Oncology Hospital between January 2000-July 2009 retrospectively revievved. Median age of the patients were 57. Male/female was 2.1/1. Adenocarcinoma was the most common histology. Most of them were T3 or T4 tumors. Head of the pancreas was the most common site. Fourty one patients were operated, 45 patients were inoperable. Fifty eight of them were irradiated for curative purpose, 7 of them were locally irradiated for paliation, 16 of them were metastatic lesions irradiated for palliation. Overall 1, 2, 3 years survival rates were %57, %31, %19 respectively. Ýn conclusion, treatment results of pancreatic cancer is a little better then older series but stili it has poor prognosis and there is need for new treatment modalities.

General Featuresof Pancreatic Cancer Patients and Survival Results

Ankara Onkoloji Hastanesi Radyasyon Onkolojisi Kliniðine 1 Ocak 2000-31 Temmuz 2009 tarihleri arasýnda baþvuran 86 pankreas kanserli hasta retrospektif olarak deðerlendirildi. Hastalar; genel özellikleri ve saðkalým sonuçlan açýsýndan incelendi. Hastalarýn medyan yaþý 57, Erkek/Kadýn oraný 2.1/1 olarak bulundu. En sýk rastlanan tümör histopatolojisi adenokarsinom idi. Kliniðimize en çok T3 ve T4 hastalar baþvurmuþtu. Tümör en çok pankreas baþýnda lokalize idi. Seksen altý hastanýn 41 ’i öpere, 45’i inopere idi. Elli sekiz hasta küratif amaçla ýþýnlanmýþtý, palyatif olarak tedavi edilenlerin 7’sine pankreas bölgesine, 16’sýna metastaz bölgesine radyoterapi uygulanmýþtý. Tüm grupta 1, 2, 3 yýllýk saðkalýmlar sýrasýyla %57, %31, %19 olarak bulundu. Pankreas kanserli hastalarýn saðkalým sonuçlarýnda eski çalýþmalara göre bir miktar düzelme olmakla birlikte yine de yeni tedavi yaklaþýmlarýna gerek olduðu sonucuna ulaþýldý.