Table 1. Clinical characteristics of patients treated with neoadjuvant therapy and upfront surgery.
GnP | UP | ||
---|---|---|---|
Median (min-max) | Median (min-max) | P value | |
Age (years) | 66.5 (36–81) | 69.5 (48–85) | 0.0582 a |
Pre-treatment CEA level (ng/mL) | 3.2 (0.8–23.3) | 2.9 (0.5–16.6) | 0.2377 a |
Post-NAT CEA level (ng/mL) | 3.0 (0.8–13.1) | 0.4636 b | |
Pre-treatment CA19-9 level (U/mL) | 279.1 (2.0–8688.4) | 95.1 (2.0–16375.0) | 0.0159 a * |
Post-NAT CA19-9 (U/mL) | 23.8 (2.0–993.0) | 0.0067 b * | |
Pre-treatment tumor volume (CT, mm3) | 30929 (7200–34764) | 22643 (630–80784) | 0.0436 a * |
Post-NAT tumor volume (CT, mm3) | 18320 (1170–226920) | 0.2332 b | |
Number (%) | Number (%) | ||
Sex | |||
Male | 15 (38) | 28 (67) | 0.0082 * |
Female | 25 (63) | 14 (33) | |
Resectability | |||
R | 0 (0) | 31 (74) | <0.0001 * |
BR | 38 (95) | 11 (26) | |
UR | 2 (5) | 0 (0) | |
Operation | |||
PD-PVR | 26 (65) | 38 (90) | 0.0006 * |
PD | 1 (3) | 3 (7) | |
DP-CAR | 13 (33) | 0 (0) | |
DP | 0 (0) | 1 (2) | |
Adjuvant | 36 (90) | 33 (79) | 0.230 |
Reason for absence of adjuvant treatment | |||
Palliative therapy for recurrence | 2c | 2c | |
Poor postoperative recovery | 2 | 4 | |
Sequential treatment for other disease | 0 | 1 | |
Patient’s will | 0 | 2 | |
Regimen for adjuvant | |||
S1 | 29 (73) | 31 (74) | |
GnP | 6 (15) | 1 (2) | 0.1725 |
Gem | 1 (3) | 1 (2) |
*P<0.05 by Mann-Whitney U test or chi-square tests.
a, Comparison between pre-NAT in GnP and preoperative in UP;
b, Comparison between post-NAT in GnP and preoperative in UP.
c, Two patients were received chemotherapy as a palliative therapy. GnP, gemcitabine plus nab-paclitaxel; UP, upfront surgery; NAT, neoadjuvant treatment; CEA, carcinoembryonic antigen; CA19-9, carbohydrate antigen 19–9; CT, computed tomography; R, resectable; BR, borderline resectable; UR, unresectable; PD, pancreatoduodenectomy; PVR, portal vein resection; DP, distal pancreatectomy; CAR, celiac artery resection; Gem, gemcitabine.