NCCN Guidelines for Pancreatic Cancer Care

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NCCN Guidelines for Pancreatic Cancer Care In today’s healthcare landscape, it is crucial to have reliable guidelines to ensure standardized and evidence-based treatment for patients with pancreatic cancer. The NCCN (National Comprehensive Cancer Network) guidelines have become the gold standard in guiding healthcare professionals in providing optimal care for individuals facing pancreatic cancer.

One institution that excels in adhering to these guidelines and delivering exceptional care is the Acibadem Healthcare Group. With their expertise and commitment to following the NCCN guidelines, they have established themselves as a trusted provider of innovative and comprehensive pancreatic cancer treatment.

We will also delve into the importance of these guidelines in managing pancreatic cancer effectively. Additionally, we will touch on the various treatment modalities recommended by the NCCN to provide a holistic approach to care.


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Stay tuned as we explore surgical approaches, radiation therapy, chemotherapy, targeted therapy, as well as palliative care and supportive treatments in the context of pancreatic cancer. Furthermore, we will discuss the significance of a multidisciplinary approach to pancreatic cancer care and how it can lead to improved outcomes and patient-centered care.

So, join us as we navigate through the NCCN guidelines for pancreatic cancer care and discover the advancements in treatment options offered by the Acibadem Healthcare Group.

Understanding Pancreatic Cancer

Pancreatic cancer is a complex and aggressive disease that affects the pancreas, an organ responsible for producing digestive enzymes and hormones like insulin. It is considered one of the deadliest forms of cancer due to its often late-stage diagnosis and limited treatment options.


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When it comes to managing pancreatic cancer, healthcare professionals rely on evidence-based guidelines and protocols to ensure optimal care for patients. One such widely recognized resource is the NCCN (National Comprehensive Cancer Network) guidelines for pancreatic cancer. These guidelines provide healthcare providers with a comprehensive framework for the diagnosis, treatment, and follow-up care of patients with pancreatic cancer.

Risk Factors and Symptoms of Pancreatic Cancer

While the exact causes of pancreatic cancer are not fully understood, several risk factors have been identified. These include:

  • Age: The risk of developing pancreatic cancer increases with age, with most cases being diagnosed in individuals over the age of 65.
  • Family History: Having a close relative, such as a parent or sibling, who has had pancreatic cancer increases an individual’s risk.
  • Smoking: Cigarette smoking is a known risk factor for pancreatic cancer.
  • Obesity: Being overweight or obese is associated with a higher risk of developing pancreatic cancer.
  • Diabetes: Chronic diabetes has been shown to increase the risk of pancreatic cancer.

The symptoms of pancreatic cancer can be vague and often go unnoticed in the early stages. However, as the disease progresses, common symptoms may include:

  • Jaundice (yellowing of the skin and eyes)
  • Abdominal or back pain
  • Unexplained weight loss
  • Loss of appetite
  • Nausea and vomiting

If you experience any of these symptoms, it is important to consult a healthcare professional for a proper evaluation and diagnosis.

Treatment Options for Pancreatic Cancer

When it comes to treating pancreatic cancer, the NCCN guidelines offer a comprehensive range of evidence-based treatment options. These may include:

  1. Surgery: Surgical intervention may be recommended to remove the tumor or relieve symptoms.
  2. Radiation Therapy: High-energy rays are used to target and destroy cancer cells.
  3. Chemotherapy: Powerful drugs are used to kill cancer cells or slow down their growth.
  4. Targeted Therapy: Medications that specifically target cancer cells and block their growth.
  5. Immunotherapy: A treatment approach that harnesses the body’s immune system to fight cancer cells.
  6. Palliative Care: Focuses on improving the quality of life for patients and managing symptoms.

It is important to note that the choice of treatment depends on various factors, including the stage of the cancer, overall health of the patient, and the expertise of the healthcare team.

Treatment Option Description
Surgery Removal of the tumor or alleviation of symptoms through surgical intervention.
Radiation Therapy High-energy rays used to target and destroy cancer cells.
Chemotherapy Powerful drugs used to kill cancer cells or slow down their growth.
Targeted Therapy Medications that specifically target cancer cells and block their growth.
Immunotherapy Treatment approach that harnesses the body’s immune system to fight cancer cells.
Palliative Care Focuses on improving the quality of life for patients and managing symptoms.

Understanding the available treatment options can empower patients and their families to make informed decisions regarding their care. It is important to consult with a multidisciplinary healthcare team to determine the most appropriate treatment plan based on individual circumstances.

Importance of NCCN Guidelines for Pancreatic Cancer Management

Effective pancreatic cancer management requires guidance from trusted sources. The National Comprehensive Cancer Network (NCCN) guidelines play a crucial role in providing evidence-based recommendations for pancreatic cancer treatment and care. Developed by a multidisciplinary panel of experts, these guidelines are considered the gold standard in the field and are widely adopted by healthcare professionals around the world.

The NCCN guidelines for pancreatic cancer are designed to optimize patient outcomes through a comprehensive and multidisciplinary approach. They provide clinicians with clear and concise recommendations for the diagnosis, staging, treatment, and follow-up care of pancreatic cancer patients. By following these guidelines, healthcare providers can ensure that patients receive the most appropriate and up-to-date care based on the latest research and clinical evidence.

The NCCN guidelines cover various aspects of pancreatic cancer management, including:

  • Initial evaluation and screening
  • Diagnostic procedures
  • Treatment options, including surgery, radiation therapy, and chemotherapy
  • Supportive care and treatment of disease-related symptoms
  • Follow-up care and survivorship

Adhering to the NCCN guidelines not only improves patient outcomes but also helps standardize care across different healthcare settings. Consistent adherence to these guidelines ensures that patients receive optimal care regardless of where they seek treatment.

It is important to note that while the NCCN guidelines provide valuable recommendations, healthcare providers must also consider individual patient factors and preferences when making treatment decisions. The guidelines serve as a framework for personalized care, allowing clinicians to tailor treatment plans to each patient’s unique needs.

In the next section, we will delve deeper into the specific recommendations provided by the NCCN guidelines for the treatment of pancreatic cancer. We will explore the key treatment modalities and discuss how they can be used in combination to maximize patient outcomes.

Best Practices for Treating Pancreatic Cancer

When it comes to treating pancreatic cancer, following the best practices recommended by the National Comprehensive Cancer Network (NCCN) guidelines is crucial. These guidelines provide evidence-based strategies that have been proven effective in managing pancreatic cancer and ensuring the best possible outcomes for patients.

The NCCN guidelines are regularly updated to incorporate the latest advancements in pancreatic cancer research and treatment. By staying up-to-date with these guidelines, healthcare providers can ensure that patients receive the most appropriate and effective care.

Key Best Practices for Treating Pancreatic Cancer

Let’s take a closer look at some of the key best practices for treating pancreatic cancer, as outlined by the NCCN guidelines:

  1. Early detection and diagnosis: Prompt diagnosis plays a crucial role in pancreatic cancer treatment. Early detection allows for timely intervention and improved treatment outcomes.
  2. Multidisciplinary approach: Pancreatic cancer treatment requires a multidisciplinary team of specialists, including surgeons, medical oncologists, radiation oncologists, and other healthcare professionals. Collaborative decision-making and comprehensive care plans are essential.
  3. Surgical interventions: Surgery is often the primary treatment option for pancreatic cancer, particularly in cases where the tumor is localized and can be completely removed. The NCCN guidelines provide recommendations on the different surgical approaches and their indications.
  4. Radiation therapy: Radiation therapy may be used before or after surgery, depending on the stage and location of the tumor. The NCCN guidelines offer guidance on the appropriate use of radiation therapy for pancreatic cancer.
  5. Chemotherapy and targeted therapy: Systemic therapies, such as chemotherapy and targeted therapy, play a significant role in the treatment of advanced pancreatic cancer. The NCCN guidelines outline the recommended drug options and treatment regimens.
  6. Palliative care: Palliative care and supportive treatments are crucial for managing symptoms, improving quality of life, and providing emotional support for pancreatic cancer patients. The NCCN guidelines emphasize the importance of integrating palliative care into the treatment plan.
  7. Clinical trials and emerging therapies: Participating in clinical trials can provide access to innovative therapies and contribute to advancing pancreatic cancer treatment. The NCCN guidelines highlight the potential benefits of clinical trial enrollment.

By adhering to these best practices and incorporating the latest recommendations from the NCCN guidelines, healthcare providers can deliver optimal care for patients with pancreatic cancer. It is important to consult with a knowledgeable healthcare team to tailor the treatment plan to individual patient needs and ensure the best possible outcomes.

Surgical Approaches for Pancreatic Cancer

In the management of pancreatic cancer, surgical intervention plays a crucial role in both curative and palliative approaches. The NCCN guidelines for pancreatic cancer provide recommendations for various surgical options that can be tailored to suit individual patient needs.

H3: Surgical Options in Pancreatic Cancer Treatment

To effectively treat pancreatic cancer, surgeons may employ different procedures depending on the stage and location of the tumor. The following are the commonly recommended surgical approaches outlined in the NCCN guidelines for pancreatic cancer:

  1. Pancreaticoduodenectomy (Whipple procedure): This surgery involves the removal of the head of the pancreas, part of the small intestine, the gallbladder, and sometimes a portion of the stomach and lymph nodes.
  2. Distal Pancreatectomy: In this procedure, the body and tail of the pancreas, along with the spleen, are removed. It is suitable for tumors located in the body or tail of the pancreas.
  3. Total Pancreatectomy: This surgery involves the complete removal of the pancreas and is typically recommended for patients with extensive cancerous involvement in the pancreas.
  4. Pancreatic Enucleation: In select cases, where the tumor is small and located on the surface of the pancreas, a partial removal of the tumor, known as enucleation, may be performed.

The choice of surgical approach depends on various factors such as tumor size, location, involvement of adjacent structures, and the patient’s overall health. Additionally, the surgical team will consider the potential risks and benefits of each procedure to ensure the best outcome for the patient.

Advancements in Minimally Invasive Surgery

In recent years, advancements in surgical techniques have led to the emergence of minimally invasive approaches for pancreatic cancer treatment. These techniques, such as laparoscopic and robotic-assisted surgeries, offer benefits such as reduced blood loss, shorter hospital stays, and faster recovery time.

H3: Risks and Considerations

Surgical interventions for pancreatic cancer carry certain risks and considerations that need to be evaluated on an individual basis. These may include infection, bleeding, leakage from surgical connections, delayed gastric emptying, or pancreatic fistula formation. It is essential for patients to have a detailed discussion with their healthcare team to understand the potential risks and benefits associated with each surgical option.

Surgical approaches are often combined with other treatments, such as radiation therapy and chemotherapy, to optimize outcomes and improve the chances of long-term survival. The NCCN guidelines for pancreatic cancer provide comprehensive recommendations to guide healthcare professionals in designing the most suitable treatment plan for each patient.

Radiation Therapy for Pancreatic Cancer

In the treatment of pancreatic cancer, radiation therapy plays a crucial role as outlined by the NCCN guidelines. This therapy involves the use of high-energy radiation to target and destroy cancer cells in the pancreas.

Radiation therapy can be administered in two main ways: external beam radiation therapy and brachytherapy. External beam radiation therapy delivers radiation from a machine outside the body, while brachytherapy involves placing radioactive material directly into or near the tumor.

External Beam Radiation Therapy

External beam radiation therapy is a common form of radiation therapy for pancreatic cancer. It uses a linear accelerator to deliver high-energy X-rays or protons to the tumor. The treatment is carefully planned to minimize damage to healthy surrounding tissues.

The duration and frequency of external beam radiation therapy for pancreatic cancer depend on various factors, including the stage and location of the tumor. It is often delivered in multiple sessions over a few weeks.

Brachytherapy

Brachytherapy involves placing a radioactive source directly into or near the tumor. This allows for a high dose of radiation to be delivered locally to the cancer cells while reducing exposure to surrounding healthy tissues. Brachytherapy may be used as a standalone treatment or in combination with other therapies, such as surgery or chemotherapy.

Effectiveness of Radiation Therapy

Radiation therapy, when used in combination with other treatments, has been shown to improve outcomes for patients with pancreatic cancer. It can be used to shrink tumors before surgery, as an adjuvant therapy after surgery, or to provide palliative relief for patients with advanced disease.

The effectiveness of radiation therapy in managing pancreatic cancer greatly depends on careful treatment planning and coordination with other therapies. The NCCN guidelines provide specific recommendations on when and how radiation therapy should be incorporated into the overall treatment plan.

Table: Comparison of External Beam Radiation Therapy and Brachytherapy for Pancreatic Cancer

Aspect External Beam Radiation Therapy Brachytherapy
Treatment method Radiation delivered from a machine outside the body Radioactive material placed into or near the tumor
Dose targeting Tumor and surrounding tissues Tumor and adjacent tissues
Treatment duration Multiple sessions over a few weeks Varies based on tumor characteristics
Applicability Used in various stages of pancreatic cancer Standalone or combined with other therapies

Overall, radiation therapy is an integral part of the treatment approach for pancreatic cancer according to the NCCN guidelines. By understanding the different types of radiation therapy and their efficacy, healthcare professionals can develop personalized treatment plans to maximize patient outcomes.

Chemotherapy and Targeted Therapy for Pancreatic Cancer

In accordance with the NCCN pancreatic cancer treatment guidelines, chemotherapy and targeted therapy play a crucial role in managing this disease and improving patient outcomes. These treatment modalities are recommended as primary or adjuvant therapy for patients with pancreatic cancer, depending on the stage and extent of the disease.

Chemotherapy involves the administration of drugs that can kill or inhibit the growth of cancer cells. It can be used before surgery to shrink tumors, after surgery to kill remaining cancer cells, or as a palliative treatment to relieve symptoms and prolong survival in advanced cases. Some commonly used chemotherapy drugs for pancreatic cancer include:

  • Gemcitabine
  • Fluorouracil (5-FU)
  • Abraxane (paclitaxel protein-bound)
  • Leucovorin
  • Irinotecan

Targeted therapy, on the other hand, focuses on specific molecular targets that contribute to tumor growth and progression. These therapies work by interfering with the signaling pathways involved in cancer cell growth, thereby inhibiting tumor growth and promoting cell death. Some targeted therapies used for pancreatic cancer include:

  • Erlotinib (Tarceva)
  • Nab-paclitaxel (Abraxane)
  • MM-398 (liposomal irinotecan)

The use of chemotherapy and targeted therapy in pancreatic cancer is often guided by the stage of the disease, overall health of the patient, and individual treatment response. Combination therapy, where multiple drugs are used together, has shown improved outcomes compared to single-agent therapy. The specific treatment plan will be determined by the treating physician in collaboration with a multidisciplinary team of specialists.

Chemotherapy Drugs Targeted Therapies
Gemcitabine Erlotinib (Tarceva)
Fluorouracil (5-FU) Nab-paclitaxel (Abraxane)
Abraxane (paclitaxel protein-bound) MM-398 (liposomal irinotecan)
Leucovorin
Irinotecan

Combining chemotherapy with targeted therapy has shown promise in enhancing treatment responses and extending survival in pancreatic cancer patients. Ongoing research and clinical trials aim to further refine these treatment approaches and identify new therapeutic targets for improved outcomes.

Palliative Care and Supportive Treatments

In the management of pancreatic cancer, the NCCN guidelines emphasize the crucial role of palliative care and supportive treatments in improving the quality of life for patients. These interventions focus on managing symptoms, providing emotional support, and enhancing overall well-being.

Palliative care aims to alleviate the pain and discomfort associated with pancreatic cancer, while also addressing the psychological, social, and spiritual needs of patients and their families. It can be provided at any stage of the disease and works in conjunction with other therapies to improve patient outcomes.

Supportive treatments, on the other hand, aim to provide comprehensive support to patients as they navigate the challenges of pancreatic cancer. This may include psychological counseling, nutritional support, pain management, and assistance with activities of daily living.

By incorporating and prioritizing palliative care and supportive treatments, healthcare providers can address the multidimensional needs of patients, ensuring that they receive comprehensive care throughout their pancreatic cancer journey.

Benefits of Palliative Care and Supportive Treatments

The integration of palliative care and supportive treatments into pancreatic cancer care offers several benefits, including:

  • Improved symptom management: Palliative care interventions help alleviate pain, nausea, and other distressing symptoms, enhancing the overall comfort of patients.
  • Enhanced quality of life: By addressing the physical, emotional, and psychosocial aspects of pancreatic cancer, these treatments improve the overall well-being and quality of life of patients.
  • Emotional support: Palliative care provides emotional support, counseling, and resources for patients and their families, helping them cope with the challenges of pancreatic cancer holistically.
  • Coordination of care: Palliative care teams work in collaboration with other healthcare providers to ensure seamless coordination of care and effective communication between all involved parties.

Medical and Psychological Support

In addition to symptom management, palliative care and supportive treatments can provide medical and psychological support to pancreatic cancer patients. This includes:

  • Access to pain management strategies to alleviate physical discomfort
  • Psychological counseling and therapy to address emotional challenges
  • Nutritional support and guidance to maintain adequate nutrition
  • Assistance with activities of daily living to promote independence and maintain dignity

These comprehensive interventions aim to optimize the overall well-being of patients and improve their quality of life while navigating the challenges of pancreatic cancer.

Treatment Role in Palliative Care
Pain Management Alleviates physical discomfort and improves the overall quality of life.
Psychological Counseling Provides emotional support and coping strategies for patients and their families.
Nutritional Support Addresses and manages malnutrition and improves overall health.
Assistance with Daily Activities Helps maintain independence and enhances the patient’s sense of well-being.

Clinical Trials and Emerging Therapies

In the ever-evolving field of pancreatic cancer treatment, clinical trials and emerging therapies play a crucial role in advancing patient care. According to the latest NCCN guidelines for pancreatic cancer, participating in clinical trials can offer patients access to innovative treatment options and pave the way for groundbreaking discoveries.

Table: Recent Advances and Emerging Therapies

Treatment Description Benefits
Immunotherapy Harnesses the body’s immune system to target cancer cells Potential for improved treatment response and long-term survival
Targeted Therapy Targets specific molecular alterations in cancer cells More precise treatment with fewer side effects
Gene Therapy Introduces genetic material into cancer cells to inhibit tumor growth Promising approach for personalized medicine

These emerging therapies hold immense promise, but it’s important to note that they are still being extensively studied and refined. Clinical trials are conducted to ensure safety, efficacy, and optimal dosing of these new treatments.

Benefits of Participating in Clinical Trials

By participating in clinical trials, patients can potentially access treatment options that are not yet widely available. Additionally, they contribute to medical research and help shape the future of pancreatic cancer treatment.

  • Access to novel treatments: Clinical trials offer the opportunity to receive cutting-edge therapies that may be more effective or have fewer side effects than standard treatments.
  • Close monitoring and care: Participants in clinical trials receive meticulous monitoring and care from a multidisciplinary team of healthcare professionals.
  • Contribution to scientific advancements: By participating in clinical trials, patients directly contribute to scientific discoveries and advancements in pancreatic cancer treatment, benefiting future patients.

It is important to discuss the potential benefits and risks of participating in clinical trials with a healthcare provider who can offer guidance tailored to each individual’s specific situation.

Multidisciplinary Approach to Pancreatic Cancer Care

In the realm of pancreatic cancer care, a multidisciplinary approach is crucial for providing patients with the best possible outcomes. At Acibadem Healthcare Group, we understand the importance of collaboration and expertise from various healthcare professionals in the management of this complex disease.

Our team of specialists, including medical oncologists, radiation oncologists, surgeons, radiologists, and supportive care professionals, work together to develop comprehensive treatment plans that align with the latest NCCN guidelines for pancreatic cancer management. By pooling our knowledge and tailoring treatment to each patient’s unique needs, we aim to provide personalized, patient-centered care.

Through our multidisciplinary approach, we strive to optimize treatment outcomes, minimize side effects, and enhance the quality of life for patients battling pancreatic cancer. By combining different modalities such as surgery, radiation therapy, chemotherapy, targeted therapy, and supportive care, we address the disease comprehensively and holistically.

At Acibadem Healthcare Group, our commitment to staying at the forefront of advancements in pancreatic cancer management allows us to offer the most innovative treatment options to our patients. Our multidisciplinary approach, backed by the NCCN guidelines, ensures that each patient receives the highest standard of care and the best chance at improved outcomes.

FAQ

What are the NCCN guidelines for pancreatic cancer?

The NCCN guidelines for pancreatic cancer are evidence-based recommendations developed by the National Comprehensive Cancer Network. These guidelines provide healthcare professionals with standardized protocols for the diagnosis, staging, and treatment of pancreatic cancer, based on the latest clinical research.

How does the Acibadem Healthcare Group contribute to pancreatic cancer care?

The Acibadem Healthcare Group is a leading healthcare provider that follows the NCCN guidelines for pancreatic cancer care. Their team of expert oncologists, surgeons, and multidisciplinary specialists utilize these guidelines to deliver comprehensive and personalized treatment plans for patients with pancreatic cancer.

What are the key recommendations for pancreatic cancer treatment according to the NCCN guidelines?

The NCCN guidelines recommend various treatment modalities for pancreatic cancer, including surgery, radiation therapy, chemotherapy, targeted therapy, and palliative care. The specific treatment approach depends on factors such as the stage of cancer, patient's overall health, and treatment goals, and is determined through a multidisciplinary approach.

What is the NCCN pancreatic cancer protocol?

The NCCN pancreatic cancer protocol is a standardized treatment pathway for managing pancreatic cancer. It outlines the sequential steps involved in diagnosis, staging, and treatment, helping healthcare professionals ensure that patients receive the most appropriate and effective care according to the NCCN guidelines.

What are the various treatment options available as per the NCCN guidelines for pancreatic cancer?

The NCCN guidelines recommend a range of treatment options for pancreatic cancer, including surgery (such as pancreaticoduodenectomy or distal pancreatectomy), radiation therapy, chemotherapy (such as gemcitabine-based regimens), targeted therapy (such as molecularly targeted agents), and palliative care. The choice of treatment depends on individual patient factors and disease characteristics.

Why is it important to follow the NCCN guidelines for pancreatic cancer management?

Following the NCCN guidelines for pancreatic cancer management is crucial as these guidelines are formulated by experts in the field based on the most current evidence. They provide standardized, evidence-based approaches to diagnosis, staging, and treatment, ensuring that patients receive the most effective and appropriate care.

What are the best practices recommended by the NCCN guidelines for treating pancreatic cancer?

The NCCN guidelines for treating pancreatic cancer recommend various best practices, including accurate staging, utilization of a multidisciplinary team, use of neoadjuvant or adjuvant therapy when appropriate, access to clinical trials, and incorporation of supportive and palliative care throughout the treatment continuum.

What are the surgical approaches recommended by the NCCN guidelines for pancreatic cancer?

The NCCN guidelines recommend surgical approaches such as pancreaticoduodenectomy (Whipple procedure), distal pancreatectomy, or total pancreatectomy for the treatment of pancreatic cancer. The choice of surgery depends on various factors, including tumor location, involvement of nearby structures, and overall patient health.

What is the role of radiation therapy in pancreatic cancer treatment according to the NCCN guidelines?

The NCCN guidelines recommend the use of radiation therapy in specific situations for pancreatic cancer, such as for patients who are unable to undergo surgery or as adjuvant treatment after surgery. Radiation therapy can help to shrink tumors, control localized disease, and relieve symptoms in advanced cases.

What are the chemotherapy and targeted therapy options recommended by the NCCN guidelines for pancreatic cancer?

The NCCN guidelines recommend various chemotherapy regimens, such as gemcitabine-based combinations or FOLFIRINOX, for the treatment of pancreatic cancer. In addition, targeted therapies such as molecularly targeted agents, including erlotinib or nab-paclitaxel, may be recommended based on individual patient characteristics and tumor biomarkers.

How does palliative care and supportive treatments play a role in pancreatic cancer management?

Palliative care and supportive treatments are essential components of pancreatic cancer management as recommended by the NCCN guidelines. These interventions focus on managing symptoms, improving quality of life, and providing emotional support to patients and their families throughout the course of their illness.

What is the role of clinical trials and emerging therapies in the treatment of pancreatic cancer according to the NCCN guidelines?

The NCCN guidelines acknowledge the importance of clinical trials and emerging therapies in improving outcomes for pancreatic cancer patients. Participation in clinical trials allows patients access to potentially promising new treatments and helps to advance the field through research and innovation.

Why is a multidisciplinary approach important in pancreatic cancer care provided by the Acibadem Healthcare Group?

A multidisciplinary approach is crucial in pancreatic cancer care as it ensures that patients receive comprehensive and coordinated treatment plans. The Acibadem Healthcare Group, with its team of experts from various specialties, adopts this approach to provide integrated care based on the NCCN guidelines, resulting in improved patient outcomes and quality of care.


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