Abstract

Pancreatic ductal adenocarcinoma (PDAC) is one of the most aggressive cancers due to high metastatic potential and already advanced stages at diagnosis. Only 20% of patients receive curative-intent surgery, followed by adjuvant chemotherapy, and another 20% with locally advanced disease are evaluated for secondary resection after neoadjuvant chemotherapy. Just one third of patients respond to chemotherapy and reliable biomarkers for response prediction are still missing. PDAC tumors display a wide heterogeneity, including different subtypes with distinct genetic signatures.

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