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Pancreatic cancer, more diagnoses, fewer deaths. Italy accelerates on prevention

More patients are alive: +10% in three years, but the disease remains among the most difficult to treat and only one in five cases is operable. Late diagnosis in 80% of cases

by Francesca Cerati

Aggiornato il 21 novembre 2025 ore 14:52

3' min read

Translated by AI
Versione italiana

3' min read

Translated by AI
Versione italiana

The fight against pancreatic cancer is showing encouraging signs: in Italythe number of people alive after diagnosis has increased by 10% in just three years. Progress that carries a clear message - research is working - but also an open challenge, because most cases continue to be discovered too late.

According to data updated to 2024, 23,600 people in our country are alive after being diagnosed with pancreatic cancer, compared to 21,200 in 2021. This is a significant increase for one of the most difficult neoplasms to treat and one that still has a severe prognosis. New cases, however, are not decreasing: 13,585 in 2024 alone, distributed almost equally between men and women.

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Late diagnosis in 80% of patients

The most critical data remains diagnostic: only one in five patients comes to clinical observation when the tumour is still localised and can be treated surgically, a condition that offers the best chance of survival. 80% of cases are discovered at an advanced stage, when therapeutic possibilities are limited.

It is precisely the early diagnosis that is at the heart of the slogan chosen by the World Pancreatic Cancer Coalition for World Pancreatic Cancer Day 2025, celebrated on 20 November: 'Hello Pancreas. Early diagnosis is important'. An invitation to pay attention to your body's signals and not to underestimate early symptoms often confused with common gastrointestinal disorders.

To date, there is no standard screening test for the general population, and recognising symptoms early on can make all the difference.

Naples at the centre of national confrontation

On 20 November 2025, the Istituto Nazionale Tumori Irccs Fondazione G. Pascale in Naples hosted a meeting dedicated to research, therapies and patients' experiences. The event was attended by doctors, caregivers, associations and researchers, including the Nadia Valsecchi Foundation, the Gabriella Fabbroncini Foundation, the Oltre la Ricerca Odv Association and the Italian Pancreatic cancer coalition (I-Pcc), under the patronage of Aiom and Airc.

During the event, the Fondazione Nadia Valsecchi - Sezione Pazienti di Napoli (Nadia Valsecchi Foundation - Patients' Section of Naples) was inaugurated, a new reference point for information, support and rights for people affected by pancreatic cancer.

Experts: 'Research on the rise, new therapies on the horizon'

'Early diagnosis, especially in those most at risk, and new targeted therapies are opening up scenarios that were unthinkable just a few years ago,' explains Alfredo Budillon, Scientific Director of Irccs Pascale. Among the innovations, he cites molecular investigations that can be performed with a simple blood sample, drugs targeting Ras mutations - present in 90% of cases - and therapeutic immunotherapy vaccines. 'At the conference we will present some studies that we are carrying out at Pascale,' he adds.

Antonio Avallone, director of abdominal medical oncology at Pascale, also confirms the 'great vitality of research', thanks above all to the introduction of new drugs such as Ras inhibitors. The confirmation comes from the results of clinical studies presented at the last Esmo congress in Berlin. 'Pancreatic cancer is set to become one of the most frequent cancers in the next thirty years. But the tools for dealing with it are changing'.

For Francesco Perrone, president of the Aiom Foundation, some progress can be seen: "In Italy, five-year net survival has risen to 11% in men and 12% in women. But this is not enough. Pancreatic cancer remains one of the great challenges for oncology, in which we still have a long way to go in terms of both research and prevention. Symptoms such as stomach and back pain, poor digestion and slimming are often confused with those of other diseases. And smoking remains the main risk factor, followed by obesity, sedentary lifestyle, alcohol, poor diet, diabetes and chronic pancreatitis'.

Finally, Enza Lonardo, co-founder of I-Pcc - which represents an Italian network for basic and translational research on pancreatic cancer - and Airc researcher, emphasises the importance of collaboration between laboratories: 'I-Pcc brings together 28 Italian research groups. Only by sharing knowledge can we turn scientific discoveries into concrete therapies and improve diagnosis and survival'.

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