Pancreatic cancer is one of the most intractable and least understood of all human cancers. Pancreatic cancer is the fourth-leading cause ofcancer-related mortality in the United States with <2% of the patients surviving for 5 yr.In an effort to help develop more effective treatment moities for pancreatic cancer and improve detection, we report an animal model for individual human pancreatic-cancer patients. The model involves orthotopic transplantation of histologically intact pancreatic-cancer specimens -to the nude-mouse pancreas, which can result in models that resemble the clinical picture including (i) extensive local tumor growth, (it) extension of the locally growing human pancreatic cancer to the nudemouse stomach and duodenum, (Wi) metastases of the human pancreatic tumor to the nude-mouse liver and regional lymph nodes, and (iv) distant metastases of the human pancreatic tumor to the nude-mouse adrenal gland, diaphragm, and mediastinal lymph nodes. In a series of five patient cases, a 100% take rate has been demonstrated, and of 17 mice transplanted, 15 supported tumor growth. Immunohistochemical analysis of the antigenic phenotype of the transplanted human pancreatic tumors showed a similar pattern of expression of two different human tumor-associated antigens, such as tumor-associated glycoprotein 72 and carcinoembryonic antigen in the transplanted tumors when compared with the original surgical biopsy, suggesting similarity between the two. This model should, therefore, prove valuable for treatment evaluation of individual cancer patients, as well as for evaluation of experimental treatment modalities for this disease. Our approach is to avoid disruption of tumor integrity and to orthotopically implant histologically intact patient tumor tissue directly after surgery or biopsy. Such a model should better resemble the original properties of the human cancer and could be ofgreat value in developing additional drugs and treatment strategies for cancer. Guided by this overall strategy, we have used nude mice to construct human coloncancer models that directly use surgical specimens and can exhibit the variety of clinical behaviors seen in human subjects (31). These behaviors include (i) local growth, (ii) abdominal metastasis, (iii) general abdominal carcinomatosis with extensive peritoneal seeding, (iv) lymph-node metastasis, (v) liver metastasis, and (vi) colonic obstruction: a tumor-establishment rate of 13 cases in 20 attempts was found (31). We have constructed a similar set of models for human bladder cancer (32).We report here the use of the orthotopic-transplant strategy of histologically intact patient specimens to develop a human pancreatic-cancer model with a 100% take rate and subsequent growth and metastatic behavior while retaining human tumor-associated antigens (TAAs), thereby resembling the clinical picture. Cancer of the pancreas is one of the most intractable cancers and is the fourth-leading cause of cancer death in the United States (1-3). At surgery, most patients are foun...