TABLE 4.

A 65-Year-Old Woman With Resectable Moderately Differentiated Adenocarcinoma of the Pancreatic Head, cT2N0M0, and Preoperative CA19–9 = 140

Treatment	Rating Comments
Upfront surgery	8
Neoadjuvant chemoradiation therapy followed by surgery	6
Neoadjuvant chemotherapy followed by surgery	6
Neoadjuvant chemotherapy followed by chemoradiation therapy followed by surgery	6
Neoadjuvant dose to tumor
Standard fractionation (45–50 Gy/1.8 Gy fx)	8
Hypofractionation (2.4–3 Gy/fx 30–36 Gy)	7
RT technique
AP/PA photons	2
4–5 field photon 3-dimensional conformal plan	7
IMRT	8
RT volume needed
Tumor alone	6
Tumor + nodal basin	8

Karnofsky performance status of 90.

Rating Scale: 1, 2, 3 usually not appropriate; 4, 5, 6 may be appropriate; 7, 8, 9 usually appropriate.

AP/PA indicates anterior-posterior/posterior-anterior; 5-FU, 5-fluorouracil; IMRT, intensity-modulated RT; RT, radiation therapy.