IMRT 2017

PANCREATIC CANCER

• NCCN

• NEOADJUVANT/RADICAL

• STANDARD TREATMENT • 45 to 54 Gy in 1.8 Gy-2.0 Gy fractions. (Consider doses > 54 Gy, if clinically appropriate) • SBRT:

• 30 to 45 Gy in 3 fractions • 25 to 45 Gy in 5 fractions

• ADJUVANT • 45 to 46 Gy in 1.8-2.0 Gy fractions (tumor bed, adjacent lymph nodes, and surgical anastomoses).