By Matthew H.G. Katz, Syed A. Ahmad
This quantity presents the main accomplished insurance of medical administration of borderline resectable pancreatic melanoma on hand. Authored by way of leaders within the box, the publication specializes in present scientific administration of this affliction degree, the significance of multimodality remedy algorithms, and an interdisciplinary method of care. Surgical chapters are well-illustrated to supply surgeons and surgical trainees with vital technical pearls. scientific trials and trial layout also are discussed.
Multimodality administration of Borderline Resectable Pancreatic Cancer is a worthy source for gastroenterologists, scientific oncologists, radiation oncologists, surgical oncologists, basic surgeons, and trainees attracted to the remedy of pancreatic cancer.
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Extra info for Multimodality Management of Borderline Resectable Pancreatic Cancer
Radial Versus Linear Echoendoscope Several studies emerged in the late 1990s that specifically compared radial scanning with the linear array for primary staging of pancreatic cancer as well as the utility of the linear array scope in both benign and malignant pancreatic lesions. The first study performed by Gress et al. utilized a cohort of 79 patients referred with pancreatic cancer . As only 33 patients ultimately had surgical excision, the evaluable groups consisted of 17 patients randomized to linear array 3 Endoscopic Ultrasonography: Staging and Therapeutic Interventions 33 Fig.
Diagnostic accuracy of EUS and CT of vascular invasion in pancreatic cancer: a systematic review. J Cancer Res Clin Oncol. 2014;140(12):2077–86. De Angelis C, Brizzi RF, Pellicano R. Endoscopic ultrasonography for pancreatic cancer: current and future perspectives. J Gastrointest Oncol. 2013;4(2):220–30. De Angelis C, Manfre SF, Pellicano R. Endoscopic ultrasonography for diagnosis and staging of pancre- 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 47 atic adenocarcinoma: key messages for clinicians.
A. M. McDonald Fig. 7 Pancreatic adenocarcinoma circumferentially encases the superior mesenteric artery (arrow) Fig. 8 Tumor is seen encasing and distorting the superior mesenteric vein (arrow). There is greater than 180° of encasement of the superior mesenteric artery (arrowhead) Manifestations of metastatic disease include hepatic metastases, adenopathy beyond the local region, and peritoneal carcinomatosis. Hepatic metastases are typically hypovascular and are best visualized on portal venous phase imaging, appearing hypodense to the enhancing liver (Fig.