Abstract

Pancreatic ductal adenocarcinoma is an aggressive tumor with poor prognosis and survival. Surgery is a treatment of choice for this tumors. Potentially resectable tumors are now treated with neoadjuvant therapy. This leads to necessity for pathologist to score the tumor response to neoadjuvant therapy. To date the international agreement guides for pathologic assessment of pancreatectomy specimens after neoadjuvant therapy are lack. Here we review the data on grossing and microscopic study of pancreatic ductal adenocarcinoma after neoadjuvant therapy, as well as data regarding the prognostic significance of tumor staging, therapy response and other pathologic parameters.

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