SlideShare a Scribd company logo
1 of 1
Download to read offline
This	illness	is	rarely	curable	and
has	an	overall	survival	(OS)	of	less	
than	6%.
Less	than	20%	of	tumors	are	small	(<2	
cm)	truly	and	with	no	lymph	node	metastases.	
Actuarial	5-year	survival	up	to	24%	has	been	
observed.	Surgical	resection	is	the	treatment	
mainstay.
Exocrine	disease Localized	disease	
PANCREATIC	CANCER
2017	FAST	FACTS	AND	
PROMISING	RESEARCH
2017:	FOR	
INOPERABLE
	PC
Screen
The	USPSTF	has	
drafted	a	research	
plan	for	screening	
select	PC	patients.
Guide
The	American	Society	
for	Oncology	has	
2016	guidance	for	
treatment	of	
potentially	curable	
PC.
Lab
It	may	one	day	be	
possible	to	treat	PC	
by	blocking	ROCK	
kinase	to	affect	
tumor	tissue	tension	
and	improve	chemo.
Growth
Maybe	a	key	factor	in	
early	embryonic	
development,	Zeb1,	
contributes	to	
aggressive	growth	of	
PC.
RESEARCHScreening	select	patients
may	lead	to	earlier	ID
Novel	anti-mPDAC	agents	have	
yielded	promising	results
2nd-line	treatment	tested	and	validated
(First-line):	FOLFIRINOX	&	gemcitabine	combined	with	nab-paclitaxel	
have	improved	overall	survivals
Abbreviations:	mPDAC,	metastatic	pancreatic	adenocarcinoma:	PC,	pancreatic	cancer;	ROCK,	Rho-associated	protein	kinase;	SPSTF,	The	United	States	Preventive	Services	Task	Forces;	Zeb	1,	Zinc	Finger	E-Box	Binding	Homeobox	1
Sources:
National	Cancer	Institute	website;	Collins	H,	Calvo	S,	Greenberg	K,	et	al.	Interact.	J.	Med.	Res..	2016;5(2):e13;		Dickson	I.	Nat	Rev	Gastroenterol	Hepatol.	2017	(e-pub);	
Khorana	AA,	Mangu	PB,	Berlin	J,	et	al.	J.	Clin.	Oncol.	2016;34(21):2541-2556;	Taieb	J,	Pointet	AL,	Van	Laethem	JL,	et	al.	Ann	Oncol.	2017	(e-pub).
FUTURE	FOR	ALL	FORMS	OF	PC

More Related Content

What's hot

Chemotherapy in ca urinary bladder dr prasanta dash
Chemotherapy in ca urinary bladder dr prasanta dashChemotherapy in ca urinary bladder dr prasanta dash
Chemotherapy in ca urinary bladder dr prasanta dash
Prasanta Dash
 
NY Prostate Cancer Conference - M.H. Hussain - Highlights of Day 2 breakout s...
NY Prostate Cancer Conference - M.H. Hussain - Highlights of Day 2 breakout s...NY Prostate Cancer Conference - M.H. Hussain - Highlights of Day 2 breakout s...
NY Prostate Cancer Conference - M.H. Hussain - Highlights of Day 2 breakout s...
European School of Oncology
 
Noa Efrat Ben Baruch : Oncotype Dx Breast Cancer Assay and impact on treatmen...
Noa Efrat Ben Baruch : Oncotype Dx Breast Cancer Assay and impact on treatmen...Noa Efrat Ben Baruch : Oncotype Dx Breast Cancer Assay and impact on treatmen...
Noa Efrat Ben Baruch : Oncotype Dx Breast Cancer Assay and impact on treatmen...
breastcancerupdatecongress
 

What's hot (20)

Chemotherapy in ca urinary bladder dr prasanta dash
Chemotherapy in ca urinary bladder dr prasanta dashChemotherapy in ca urinary bladder dr prasanta dash
Chemotherapy in ca urinary bladder dr prasanta dash
 
Overview of intravesical therapy: Current Controversies
Overview of intravesical therapy: Current ControversiesOverview of intravesical therapy: Current Controversies
Overview of intravesical therapy: Current Controversies
 
Ocular Melanoma and Liver Metastases
Ocular Melanoma and Liver MetastasesOcular Melanoma and Liver Metastases
Ocular Melanoma and Liver Metastases
 
Pancreatic Cancer
Pancreatic CancerPancreatic Cancer
Pancreatic Cancer
 
Chapter 2.4 tmb and ngs
Chapter 2.4 tmb and ngsChapter 2.4 tmb and ngs
Chapter 2.4 tmb and ngs
 
NY Prostate Cancer Conference - M.H. Hussain - Highlights of Day 2 breakout s...
NY Prostate Cancer Conference - M.H. Hussain - Highlights of Day 2 breakout s...NY Prostate Cancer Conference - M.H. Hussain - Highlights of Day 2 breakout s...
NY Prostate Cancer Conference - M.H. Hussain - Highlights of Day 2 breakout s...
 
Medical genetics
Medical geneticsMedical genetics
Medical genetics
 
Update in tnbc
Update in tnbcUpdate in tnbc
Update in tnbc
 
Intravesical Therapy: Old trials, new agents and new approaches
Intravesical Therapy: Old trials, new agents and new approaches Intravesical Therapy: Old trials, new agents and new approaches
Intravesical Therapy: Old trials, new agents and new approaches
 
Using biomarkers to monitor the dynamics of tumor
Using biomarkers to monitor the dynamics of tumorUsing biomarkers to monitor the dynamics of tumor
Using biomarkers to monitor the dynamics of tumor
 
Cx ca kauh 2011
Cx ca kauh 2011Cx ca kauh 2011
Cx ca kauh 2011
 
Noa Efrat Ben Baruch : Oncotype Dx Breast Cancer Assay and impact on treatmen...
Noa Efrat Ben Baruch : Oncotype Dx Breast Cancer Assay and impact on treatmen...Noa Efrat Ben Baruch : Oncotype Dx Breast Cancer Assay and impact on treatmen...
Noa Efrat Ben Baruch : Oncotype Dx Breast Cancer Assay and impact on treatmen...
 
Molecular Profiling of Cholangiocarcinoma - Milind Javle, MD
Molecular Profiling of Cholangiocarcinoma - Milind Javle, MDMolecular Profiling of Cholangiocarcinoma - Milind Javle, MD
Molecular Profiling of Cholangiocarcinoma - Milind Javle, MD
 
Oncotype dx presentation
Oncotype dx presentationOncotype dx presentation
Oncotype dx presentation
 
Updates on management of metastatic melanoma
Updates  on management of metastatic  melanoma  Updates  on management of metastatic  melanoma
Updates on management of metastatic melanoma
 
Genomics: Personalised Medicine in Brain Cancer?
Genomics: Personalised Medicine in Brain Cancer?Genomics: Personalised Medicine in Brain Cancer?
Genomics: Personalised Medicine in Brain Cancer?
 
The one thing I'd fix
The one thing I'd fixThe one thing I'd fix
The one thing I'd fix
 
Sunitinib alone or after nephrectomy in metastatic renal cancer
Sunitinib alone or after nephrectomy in metastatic renal cancerSunitinib alone or after nephrectomy in metastatic renal cancer
Sunitinib alone or after nephrectomy in metastatic renal cancer
 
MANAGEMENT OF BIOCHEMICAL RECURRENCE AFTER RADICAL PROSTATECTOMY & RADIATION ...
MANAGEMENT OF BIOCHEMICAL RECURRENCE AFTER RADICAL PROSTATECTOMY & RADIATION ...MANAGEMENT OF BIOCHEMICAL RECURRENCE AFTER RADICAL PROSTATECTOMY & RADIATION ...
MANAGEMENT OF BIOCHEMICAL RECURRENCE AFTER RADICAL PROSTATECTOMY & RADIATION ...
 
Session 1.5: Belbin
Session 1.5: BelbinSession 1.5: Belbin
Session 1.5: Belbin
 

Similar to PANCREATIC CANCER (2017 UPDATE)

Slide deck updates on cml (1)
Slide deck updates on cml (1)Slide deck updates on cml (1)
Slide deck updates on cml (1)
madurai
 
Pathological assesment of carcinoma breast after neoadjuvant chenotherapy.
Pathological assesment of carcinoma breast after neoadjuvant chenotherapy.Pathological assesment of carcinoma breast after neoadjuvant chenotherapy.
Pathological assesment of carcinoma breast after neoadjuvant chenotherapy.
imrana tanvir
 
jcmt_19_16.lpubblicato
jcmt_19_16.lpubblicatojcmt_19_16.lpubblicato
jcmt_19_16.lpubblicato
Gianni Mura
 
Renal Cell Carcinoma Diagnosis And Management
Renal Cell Carcinoma Diagnosis And ManagementRenal Cell Carcinoma Diagnosis And Management
Renal Cell Carcinoma Diagnosis And Management
RHMBONCO
 
Medical Students 2011 - A. Cervantes - GASTROINTESTINAL CANCER - Epidemiology...
Medical Students 2011 - A. Cervantes - GASTROINTESTINAL CANCER - Epidemiology...Medical Students 2011 - A. Cervantes - GASTROINTESTINAL CANCER - Epidemiology...
Medical Students 2011 - A. Cervantes - GASTROINTESTINAL CANCER - Epidemiology...
European School of Oncology
 

Similar to PANCREATIC CANCER (2017 UPDATE) (20)

Pazopanib.palette.psices
Pazopanib.palette.psicesPazopanib.palette.psices
Pazopanib.palette.psices
 
Sanofi’s ADC is targeting CEACAM5 in patients with NSCLC. CEACAM5 is expresse...
Sanofi’s ADC is targeting CEACAM5 in patients with NSCLC. CEACAM5 is expresse...Sanofi’s ADC is targeting CEACAM5 in patients with NSCLC. CEACAM5 is expresse...
Sanofi’s ADC is targeting CEACAM5 in patients with NSCLC. CEACAM5 is expresse...
 
Kyaw thura zaw
Kyaw thura zawKyaw thura zaw
Kyaw thura zaw
 
2020 Update In Hereditary Cancer Syndromes
2020 Update In Hereditary Cancer Syndromes2020 Update In Hereditary Cancer Syndromes
2020 Update In Hereditary Cancer Syndromes
 
Actualización en el abordaje terapéutico ante un cáncer colorrectal metastásico
Actualización en el abordaje terapéutico ante un cáncer colorrectal metastásicoActualización en el abordaje terapéutico ante un cáncer colorrectal metastásico
Actualización en el abordaje terapéutico ante un cáncer colorrectal metastásico
 
Neoadjuvant in RCC.pptx
Neoadjuvant in RCC.pptxNeoadjuvant in RCC.pptx
Neoadjuvant in RCC.pptx
 
A 2020 Renal Cancer update
 A 2020 Renal Cancer update   A 2020 Renal Cancer update
A 2020 Renal Cancer update
 
Slide deck updates on cml (1)
Slide deck updates on cml (1)Slide deck updates on cml (1)
Slide deck updates on cml (1)
 
NIH Presentation Nov 2016 Neuroendocrine Tumor Clinical Trials
NIH Presentation Nov 2016 Neuroendocrine Tumor Clinical TrialsNIH Presentation Nov 2016 Neuroendocrine Tumor Clinical Trials
NIH Presentation Nov 2016 Neuroendocrine Tumor Clinical Trials
 
Pathological assesment of carcinoma breast after neoadjuvant chenotherapy.
Pathological assesment of carcinoma breast after neoadjuvant chenotherapy.Pathological assesment of carcinoma breast after neoadjuvant chenotherapy.
Pathological assesment of carcinoma breast after neoadjuvant chenotherapy.
 
Edward Greeno, M.D.
Edward Greeno, M.D.Edward Greeno, M.D.
Edward Greeno, M.D.
 
Nature medicine top ten advancements in biomedicine in 2020
Nature medicine top ten advancements in biomedicine in 2020Nature medicine top ten advancements in biomedicine in 2020
Nature medicine top ten advancements in biomedicine in 2020
 
Renal Cell Carcinoma Risk Stratification
Renal Cell Carcinoma Risk StratificationRenal Cell Carcinoma Risk Stratification
Renal Cell Carcinoma Risk Stratification
 
Prostate cancer 2018: A brief overview
Prostate cancer 2018: A brief overviewProstate cancer 2018: A brief overview
Prostate cancer 2018: A brief overview
 
Chicago talk
Chicago talkChicago talk
Chicago talk
 
Exploring Clinical Decisions in the New Era of Myeloma Management: The Impact...
Exploring Clinical Decisions in the New Era of Myeloma Management: The Impact...Exploring Clinical Decisions in the New Era of Myeloma Management: The Impact...
Exploring Clinical Decisions in the New Era of Myeloma Management: The Impact...
 
jcmt_19_16.lpubblicato
jcmt_19_16.lpubblicatojcmt_19_16.lpubblicato
jcmt_19_16.lpubblicato
 
Renal Cell Carcinoma Diagnosis And Management
Renal Cell Carcinoma Diagnosis And ManagementRenal Cell Carcinoma Diagnosis And Management
Renal Cell Carcinoma Diagnosis And Management
 
Medical Students 2011 - A. Cervantes - GASTROINTESTINAL CANCER - Epidemiology...
Medical Students 2011 - A. Cervantes - GASTROINTESTINAL CANCER - Epidemiology...Medical Students 2011 - A. Cervantes - GASTROINTESTINAL CANCER - Epidemiology...
Medical Students 2011 - A. Cervantes - GASTROINTESTINAL CANCER - Epidemiology...
 
Prostate cancer Organ Confined by Dr. Ali Mujtaba
Prostate cancer  Organ Confined by Dr. Ali MujtabaProstate cancer  Organ Confined by Dr. Ali Mujtaba
Prostate cancer Organ Confined by Dr. Ali Mujtaba
 

More from Zeena Nackerdien

HIV Vaccines
HIV VaccinesHIV Vaccines
HIV Vaccines
Zeena Nackerdien
 
The Vaccine Debate
The Vaccine DebateThe Vaccine Debate
The Vaccine Debate
Zeena Nackerdien
 

More from Zeena Nackerdien (20)

Management thyroid cancer_v1
Management thyroid cancer_v1Management thyroid cancer_v1
Management thyroid cancer_v1
 
Cancer vaccines 20_july2020
Cancer vaccines 20_july2020Cancer vaccines 20_july2020
Cancer vaccines 20_july2020
 
COVID Treatment Infographics
COVID Treatment InfographicsCOVID Treatment Infographics
COVID Treatment Infographics
 
Basics you need to know about heart disease and stents
Basics you need to know about heart disease and stentsBasics you need to know about heart disease and stents
Basics you need to know about heart disease and stents
 
Introduction to cancer vaccines
Introduction to cancer vaccinesIntroduction to cancer vaccines
Introduction to cancer vaccines
 
Gastroesophageal disease (GERD) in Adults
Gastroesophageal disease (GERD) in AdultsGastroesophageal disease (GERD) in Adults
Gastroesophageal disease (GERD) in Adults
 
Could CDK12 mutations guide immune checkpoint inhibitor use?
Could CDK12 mutations guide immune checkpoint inhibitor use?Could CDK12 mutations guide immune checkpoint inhibitor use?
Could CDK12 mutations guide immune checkpoint inhibitor use?
 
Cytomegalovirus infection in critically ill patients: Focus on HSCT recipients
Cytomegalovirus infection in critically ill patients: Focus on HSCT recipientsCytomegalovirus infection in critically ill patients: Focus on HSCT recipients
Cytomegalovirus infection in critically ill patients: Focus on HSCT recipients
 
Cancer immunotherapies from the perspectives of oncology nurses
Cancer immunotherapies from the perspectives of oncology nursesCancer immunotherapies from the perspectives of oncology nurses
Cancer immunotherapies from the perspectives of oncology nurses
 
Triple-Negative Breast Cancer: 2018 Status Update
Triple-Negative Breast Cancer: 2018 Status UpdateTriple-Negative Breast Cancer: 2018 Status Update
Triple-Negative Breast Cancer: 2018 Status Update
 
The State of Mental Health as We Know it
The State of Mental Health as We Know itThe State of Mental Health as We Know it
The State of Mental Health as We Know it
 
HIV Vaccines
HIV VaccinesHIV Vaccines
HIV Vaccines
 
Immunology for Beginners
Immunology for BeginnersImmunology for Beginners
Immunology for Beginners
 
The Vaccine Debate
The Vaccine DebateThe Vaccine Debate
The Vaccine Debate
 
Management of Diabetes and Heart Disease
Management of Diabetes and Heart DiseaseManagement of Diabetes and Heart Disease
Management of Diabetes and Heart Disease
 
The Management of Lupus
The Management of LupusThe Management of Lupus
The Management of Lupus
 
Health insurance coverage in the United States
Health insurance coverage in the United StatesHealth insurance coverage in the United States
Health insurance coverage in the United States
 
Management of Prostate Cancer
Management of Prostate CancerManagement of Prostate Cancer
Management of Prostate Cancer
 
US Health Care 101
US Health Care 101US Health Care 101
US Health Care 101
 
4 Questions about Sustaining Earth answered.
4 Questions about Sustaining Earth answered.4 Questions about Sustaining Earth answered.
4 Questions about Sustaining Earth answered.
 

Recently uploaded

Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
chetankumar9855
 

Recently uploaded (20)

Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
Call Girl In Pune 👉 Just CALL ME: 9352988975 💋 Call Out Call Both With High p...
 
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
Mumbai ] (Call Girls) in Mumbai 10k @ I'm VIP Independent Escorts Girls 98333...
 
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
Call Girls Service Jaipur {9521753030} ❤️VVIP RIDDHI Call Girl in Jaipur Raja...
 
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
Independent Call Girls Service Mohali Sector 116 | 6367187148 | Call Girl Ser...
 
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service AvailableCall Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
Call Girls Jaipur Just Call 9521753030 Top Class Call Girl Service Available
 
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Madurai Just Call 9630942363 Top Class Call Girl Service Available
 
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
Model Call Girls In Chennai WhatsApp Booking 7427069034 call girl service 24 ...
 
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
Models Call Girls In Hyderabad 9630942363 Hyderabad Call Girl & Hyderabad Esc...
 
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
Best Rate (Patna ) Call Girls Patna ⟟ 8617370543 ⟟ High Class Call Girl In 5 ...
 
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on WhatsappMost Beautiful Call Girl in Bangalore Contact on Whatsapp
Most Beautiful Call Girl in Bangalore Contact on Whatsapp
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
 
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
Jogeshwari ! Call Girls Service Mumbai - 450+ Call Girl Cash Payment 90042684...
 
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Call Girls Kolkata Kalikapur 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
 
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service AvailableCall Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
Call Girls Hosur Just Call 9630942363 Top Class Call Girl Service Available
 
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
Call Girls Service Jaipur {8445551418} ❤️VVIP BHAWNA Call Girl in Jaipur Raja...
 
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
Call Girls in Delhi Triveni Complex Escort Service(🔝))/WhatsApp 97111⇛47426
 
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
Best Rate (Guwahati ) Call Girls Guwahati ⟟ 8617370543 ⟟ High Class Call Girl...
 
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
9630942363 Genuine Call Girls In Ahmedabad Gujarat Call Girls Service
 
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
Night 7k to 12k Navi Mumbai Call Girl Photo 👉 BOOK NOW 9833363713 👈 ♀️ night ...
 
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
VIP Hyderabad Call Girls Bahadurpally 7877925207 ₹5000 To 25K With AC Room 💚😋
 

PANCREATIC CANCER (2017 UPDATE)