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1. Introduction PDAC is a significant health burden. Its incidence is projected to increase, making it the second leading cause of cancer-related deaths by 2030 [1]. Early detection is crucial, as surgery represents the only curative treatment option, while the prognosis of patients diagnosed at stage IV remains poor [1,2]. However, most PDAC tumors are diagnosed at an advanced or locally advanced stage [2].
Andorra is a lovely and tiny independent principality in the Pyrenees, sandwiched between Spain and France. With a surface of 468 km2, it is one of the smallest microstates in Europe, with a year-round population of just 75,000 inhabitants. But while small in size, in 2016 Andorra received more than 8 million visitors drawn by winter sports, summer climate, duty-free shopping, and a wealthy international commercial and banking sector.
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