Engxoxweni ebisanda kwenziwa, uDkt Afsaneh Barzi, ongumsizi kaprofesa wezokwelapha emtholampilo e-University of Southern California Norris Comprehensive Cancer Center, ukunitshele ngezindlela zokwelapha ezintsha ze-adjuvant ezikhona neziqhamukayo zeziguli ezinomdlavuza ongahlonzi we-pancreatic.
IGemcitabine inikezwa iziguli ezinomdlavuza we-pancreatic njengomkhuba ojwayelekile wokuhlola impendulo. Kodwa-ke, uBarzi uthe impendulo yesiguli ku-gemcitabine ibimbi kakhulu futhi iziguli eziningi azikwazi ukuhlinzwa. Isivivinyo se-LAPACT siphenye ukwelashwa okuhlanganisiwe kwe-gemcitabine ne-nab-paclitaxel (Abraxane). Ukuhlolwa kukhombisa ukuthi iziguli ezingama-36% zomdlavuza wepancreatic ziyasabela ekwelashweni, kanti cishe iziguli ezingama-15% zomdlavuza wepancreatic zingathola ukwelashwa okuhlinzwa.
Ngaphezu kwalokho, ukuhlaziywa kwe-meta yocwaningo lwe-FOLFIRINOX lweziguli ezinomdlavuza we-pancreatic osezingeni eliphezulu kubonise ukuthi cishe ama-28% eziguli ezinomdlavuza we-pancreatic akwazi ukuhlinzwa. U-Barzi wachaza ukuthi njengoba i-chemotherapy isebenza kakhulu, amathuba okukhishwa kabusha ayanda. Ngakho-ke, ukukhishwa kabusha kwesiguli kufanele kuhlolwe ngokufanele. U-Barzi uphethe ngokuthi nakuba iziguli eziningi zingase zingakufanelekeli ukuhlinzwa, kusafanele ukuhlola iziguli ukuze kutholwe iziguli ezingahlinzwa ngemva kokwelashwa kwe-neoadjuvant.