Would you offer adjuvant chemotherapy for a patient with a high grade IPMN who was found to have a small focus of invasive adenocarcinoma pT1aN0 after Whipple?
Would age influence your decision?
Answer from: Medical Oncologist at Community Practice
Yes, for any patient who has evidence of adenocarcinoma at the time of surgical resection, I offer adjuvant therapy. Patients with T1N0 are recommended per the NCCN and ASCO guidelines to receive adjuvant therapy and were not excluded in adjuvant clinical trials that demonstrated an improvement in o...