Mubvunzurudzo ichangobva kuitika, Dr. Afsaneh Barzi, mutevedzeri wemupurofesa wemishonga yekiriniki paYunivhesiti yeSouthern California Norris Comprehensive Cancer Center, akakuudza nezvehutano huripo uye huri kubuda hutsva hwe adjuvant kuvarwere vane non-metastatic pancreatic cancer.
Gemcitabine inopihwa kuvarwere vane gomarara repancreatic seyakajairwa tsika kuongorora mhinduro. Nekudaro, Barzi akataura kuti mhinduro yemurwere kugemcitabine yaive yakaipa kwazvo uye kuti varwere vazhinji vakatadza kuvhiyiwa. Iyo LAPACT kuyedza yakaongorora iyo yekubatanidza kurapa kwegemcitabine uye nab-paclitaxel (Abraxane). Kuyedza kunoratidza kuti makumi matatu muzana muzana evarwara nekenza yepancreatic vanopindura kurapwa, uye vangangoita gumi muzana muzana vegomarara repancreatic cancer vanogona kurapwa kurapwa.
Pamusoro pezvo, ongororo yekuongorora yeFOLFIRINOX yevarwere vane cancer yepancreatic yakaratidza kuti vangangoita 28% yevarwere vepancreatic cancer vakakwanisa kuvhiyiwa. Barzi akatsanangura kuti sezvo chemotherapy inowedzera kushanda, mukana wekubvisa resection unowedzera. Nokudaro, kubviswa kwemurwere kunofanira kuongororwa zvakakodzera. Barzi akagumisa kuti kunyangwe varwere vazhinji vangangove vasina kukodzera kuvhiyiwa, zvichiri kukosha kuongorora varwere kuti vawane varwere vanogona kuvhiyiwa mushure mekurapa neoadjuvant.