Pancreatic Cancer: Current Diagnostic Tools Clinical Presentation

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Tumor cannot be assessed T0No evidence of primary tumor TisCarcinoma in situ T1Tumor 2 cm or less T2Tumor limited to pancreas, greater than 2 cm TXPrimary extends beyond pancreas, no celiac or SMA involvement T4Tumor involves celiac axis or SMA (unresectable primary) Regional Lymph Nodes (N) NX nodes cannot be assessed T3Tumor No regional lymph nodes N1 Regional lymph metastasis N0 Metastasis (M) MX Presence of distant metastasis cannot be assessed M0 No distant M1 Distant metastasis Distant Purpose of <strong>Diagnostic</strong> <strong>Tools</strong> Identify the location of the lesion Diagnosis – tissue sampling Staging • Prognosis • Directs management Surgery Chemotherapy Other interventions Eligibility for clinical trials Primary Tumor (T) TNM Staging 4
I T1-2 IIA T3 N0 IIB T1-3 N1 III T4 M0 IV Any T Any N M1 Stage AJCC Staging Stage T N M Imaging Modalities Transabdominal Ultrasound CT scan MRI/MRCP Endoscopic Retrograde Cholangiopancreatogrpahy (ERCP) Endoscopic Ultrasound (EUS) PET/PET-CT 5
Page 1 and 2: Pancreatic Cancer: Current Diagnost
Page 3: Pancreatic Anatomy Pancreatic Cance
Page 7 and 8: Computed Tomography (CT) Typical CT
Page 9 and 10: Endoscopic Retrograde Cholangiopanc
Page 11 and 12: Biliary Stents Endoscopic Ultrasoun
Page 13 and 14: Positron Emission Tomography (PET)
Page 15 and 16: FDG-PET:Liver Metastasis from Pancr
Page 17 and 18: Celiac Plexus Neurolysis EUS guided
Page 19: Summary Current diagnostic tools

Pancreatic Cancer: Current Diagnostic Tools Clinical Presentation

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