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ESMO GI 2026 | Surgical resection in locally advanced pancreatic cancer

Michele Milella, MD, University of Verona, Verona, Italy, discuss resection in the locally advanced pancreatic cancer (LAPC) population, highlighting the low resectability rate in this cohort even with neoadjuvant treatment. In the TRIPP-FFX study (NCT05466799) evaluating the feasibility and tolerability of induction FOLFIRINOX chemotherapy with targeted intratumoral placement of phosphorus-32 (P-32) microparticles in unresectable LAPC, no difference was observed in the number of patients that underwent subsequent surgical resection between those that received the combination and those that received FOLFIRINOX alone. However, of those that received P-32, 60% had resection with R0 margins, whereas only 20% of those that received FOLFIRINOX alone had the same margins. This interview took place at the European Society for Medical Oncology (ESMO) Gastrointestinal Cancer 2026 Congress in Munich, Germany.

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