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Radiologic Staging Of Pancreatic Cancer

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Michelle Lee<br />

Gillian Lieberman, MD<br />

Early Detection of <strong>Pancreatic</strong> <strong>Cancer</strong><br />

• screening of patients with familial syndromes<br />

radiologically (using EUS, then ERCP if the patient is<br />

symptomatic or the EUS is abnormal) has been shown to<br />

be effective<br />

– all patients with findings who underwent<br />

pancreatectomy had pancreatic dysplasia on pathology<br />

• laboratory screening may ultimately be combined with<br />

radiologic screening<br />

– mutant K-ras oncogene can be detected in pancreaic<br />

juice or stool samples<br />

– tumor marker CA-19-9 can be measured in plasma<br />

35

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