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PANCREATIC CARCINOMA • 90% are Ductal Adenocarcinoma • Pancreatic head (70%), body (20%), tail (10%) • Median age 72 years (65-84 y/o) • Most tumors are diagnosed late and 85% are unresectable at the time of diagnosis •Symptoms manifest late •Early extrapancreatic spread of tumor •Rapid downhill course from diagnosis to death
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PANCREATIC CARCINOMA 90% are Ductal Adenocarcinoma Pancreatic head (70%), body (20%), tail (10%) Median age 72 years (65-84 y/o) Most tumors are diagnosed.

Apr 01, 2015

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Lukas Mock
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Page 1: PANCREATIC CARCINOMA 90% are Ductal Adenocarcinoma Pancreatic head (70%), body (20%), tail (10%) Median age 72 years (65-84 y/o) Most tumors are diagnosed.

PANCREATIC CARCINOMA

• 90% are Ductal Adenocarcinoma• Pancreatic head (70%), body (20%), tail (10%)

• Median age 72 years (65-84 y/o)• Most tumors are diagnosed late and 85% are

unresectable at the time of diagnosis• Symptoms manifest late• Early extrapancreatic spread of tumor• Rapid downhill course from diagnosis to death

Page 2: PANCREATIC CARCINOMA 90% are Ductal Adenocarcinoma Pancreatic head (70%), body (20%), tail (10%) Median age 72 years (65-84 y/o) Most tumors are diagnosed.

Clinical Features

• Abdominal pain• Weightloss• Jaundice (lesions in the pancreatic head)– Dark urine– Acholic stools– Pruritus

Page 3: PANCREATIC CARCINOMA 90% are Ductal Adenocarcinoma Pancreatic head (70%), body (20%), tail (10%) Median age 72 years (65-84 y/o) Most tumors are diagnosed.

Ultrasound

Page 4: PANCREATIC CARCINOMA 90% are Ductal Adenocarcinoma Pancreatic head (70%), body (20%), tail (10%) Median age 72 years (65-84 y/o) Most tumors are diagnosed.

CT Scan - Normal

CORONAL VIEWAXIAL VIEW

Page 5: PANCREATIC CARCINOMA 90% are Ductal Adenocarcinoma Pancreatic head (70%), body (20%), tail (10%) Median age 72 years (65-84 y/o) Most tumors are diagnosed.

CT Scan

Focal hypodense mass

Pancreatic Cancer Patient

Page 6: PANCREATIC CARCINOMA 90% are Ductal Adenocarcinoma Pancreatic head (70%), body (20%), tail (10%) Median age 72 years (65-84 y/o) Most tumors are diagnosed.

CT Scan

Perivascular tumor extension

Pancreatic Cancer Patient

Page 7: PANCREATIC CARCINOMA 90% are Ductal Adenocarcinoma Pancreatic head (70%), body (20%), tail (10%) Median age 72 years (65-84 y/o) Most tumors are diagnosed.

CT Scan

Bile duct and/or pancreatic duct dilatation

Pancreatic Cancer Patient