The European Study Group for Pancreatic Cancer (ESPAC) Trials

  • Paula GhanehEmail author
  • Khaled Dajani
  • Michael G. T. Raraty
  • Robert Suttton
  • John P. Neoptolemos


Pancreatic cancer is one of the most lethal malignancies with recent data quoting a worldwide annual incidence of 232,306 cases, resulting in 227,023 deaths ( In spite of the recent advances in the understanding of the biology, refined imaging systems, and improving surgical outcomes of pancreatic cancer, the overall 5-year survival for pancreatic cancer remains poor at less than 5% (Cress et al. 2006; Bramhall et al. 1995).

Surgical resection remains the only potentially curative intervention. Due to late presentation, however, curative resections can be offered to only 10-15% of patients with pancreatic cancer (Alexakis et al. 2004) and confer only a median survival of 12-15 months (Shaib et al. 2007; Wagner et al. 2004). The aggressive biology of pancreatic cancer dictates that even following resection, the majority of patients experience tumor recurrence either locally or through distant metastases.


Pancreatic Cancer Adjuvant Chemotherapy Adjuvant Therapy Pancreatic Ductal Adenocarcinoma Folinic Acid 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag London Limited 2010

Authors and Affiliations

  • Paula Ghaneh
    • 1
    Email author
  • Khaled Dajani
    • 1
  • Michael G. T. Raraty
    • 1
  • Robert Suttton
    • 1
  • John P. Neoptolemos
    • 1
  1. 1.Division of SurgeryRoyal Liverpool HospitalLiverpoolUK

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