staging cancer pancreas RADIOLOGY

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    mailto:[email protected]://dx.doi.org/10.1016/j.rcl.2012.03.008http://radiologic.theclinics.com/http://radiologic.theclinics.com/http://radiologic.theclinics.com/http://radiologic.theclinics.com/http://radiologic.theclinics.com/http://radiologic.theclinics.com/http://radiologic.theclinics.com/http://radiologic.theclinics.com/http://radiologic.theclinics.com/http://radiologic.theclinics.com/http://radiologic.theclinics.com/http://radiologic.theclinics.com/http://radiologic.theclinics.com/http://radiologic.theclinics.com/http://radiologic.theclinics.com/http://radiologic.theclinics.com/http://radiologic.theclinics.com/http://radiologic.theclinics.com/http://radiologic.theclinics.com/http://radiologic.theclinics.com/http://radiologic.theclinics.com/http://radiologic.theclinics.com/http://radiologic.theclinics.com/http://radiologic.theclinics.com/http://radiologic.theclinics.com/http://radiologic.theclinics.com/http://dx.doi.org/10.1016/j.rcl.2012.03.008mailto:[email protected]
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    E`i, 4, ^p}dw fe GBO xdgflw~xtg~`flw, ]olgxdo~`g bdon ~tjfxw ~p}`goccp owgdln ~bd iow~xfntfndloc ox~dxp "INO) ~f`lufcud ~bd GBO, @e ~tjfx `lufcudjdl~ `w j`l`joc "O)# ~bdl o }x`joxp olow~fjfw`w fe ~bd dr`w~`li GBO dlnw gol hdnfld, Bfydudx# `e ~bd `lufcudn GBO wdijdl~ `w cflidx "H)# ~bdl o uowgtcox ixoe~ `w lddndn, Efx ol olow~fjfw`w ~f hd}fww hcd# ~tjfxjtw~ lf~ `lufcud ~bd }xfr`joc ? gj fe ~bd gfjjfl bd}o~`g ox~dxp ow `~ fx i`lo~dwexfj ~bd gdc`og ~xtla,

    W~oi`li ]olgxdo~`g Ondlfgoxg`lfjo >??

  • 7/31/2019 staging cancer pancreas RADIOLOGY

    6/22

    gbdjfxon`o~`fl),?5 Etx~bdx w~tn`dw oxd tlndxyop ~f

    gcox`ep ~bd xfcdw fe gbdjf~bdxo}p oln xon`o~`fl

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    ~f coga fe du`ndlgd efx o }x`joxp ~tjfx# `loh`c`~p

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    ^ojj d~ oc>?8

  • 7/31/2019 staging cancer pancreas RADIOLOGY

    7/22

    fx dqtoc ~f 8 gj oln hftlndn hp ~bd }olgxdow, ^8

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    lfndw), ^bd J ~dxj `w d`~bdx J= "lf jd~ow~owdw)

    fx J? "n`w~ol~ jd~ow~owdw oxd }xdwdl~),

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    WJO `lufcudjdl~) y`~bft~ jd~ow~owdw xdlndxw olp

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    @@H `w ^? ~f ^7 n`wdowd `l ~bd wd~~`li fe xdi`floc

    E`i, 2, O 5?*pdox*fcn jol y`~b golgdx fe ~bd }olgxdo~`g bdon, Howdc`ld }fx~oc udlftw }bowd `joi`li "O) wbfyw~tjfx "cfli yb`~d oxxfyw) jdowtx`li ldoxcp 4 gj# y`~b gdl~xoc tcgdxo~`fl "hcoga oxxfy) f}og`ep`li y`~b iow~xf*`l~dw~`loc gfl~xow~ exfj gfjjtl`go~`fl y`~b ntfndltj, Jfxd wt}dx`fxcp fh~o`ldn or`oc `joid " H) wbfyw ondl*f}o~bp "yb`~d oxxfyw) ldox ~bd GBO oln `l ~bd }fx~ogouoc xdi`fl, Wfe~ ~`wwtd w~xoln`li "yb`~d oxxfybdon) `w wddl

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    E`i, 0, ^? "38*gj ~tjfx# hftlndn hp }olgxdow)# ^8 "~tjfx8 gj# ht~ hftlndn hp }olgxdow)# ^7 "~tjfx dr~dln`lihdpfln }olgxdow ht~ lf~ `lufcu`li ~bd gdc`og fx wt}dx`fx jdwdl~dx`g ox~dx`dw)# oln ^> n`wdowd "~tjfx `lufcu`li ~bdgdc`og fx wt}dx`fx jdwdl~dx`g ox~dx`dw), WJU# wt}dx`fx jdwdl~dx`g ud`l1 WJO# wt}dx`fx jdwdl~dx`g ox~dxp,

    W~oi`li ]olgxdo~`g Ondlfgoxg`lfjo >?7

  • 7/31/2019 staging cancer pancreas RADIOLOGY

    8/22

    lfnoc jd~ow~owdw ht~ lf~ n`w~ol~ jd~ow~owdw,

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    efx w~oi`li# f~bdx deefx~w boud hddl jond ~f ixft}

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    wtxi`goc e`dcn# fx ~tjfx dlgowdjdl~ "

  • 7/31/2019 staging cancer pancreas RADIOLOGY

    9/22

    fe ~bd gfjjfl bd}o~`g ox~dxp "yb`gb yftcn

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    ~f oht~jdl~ "lf

  • 7/31/2019 staging cancer pancreas RADIOLOGY

    10/22

    @JOI@LI; ^DGBL@_TD

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    G^

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    E`i, ?>, Hfxndxc`ld udlftw fggctw`fl `l o 5=*pdox*fcn yfjol, Howdc`ld or`oc }fx~oc udlftw }bowd `joid "O) wbfyw}olgxdo~`g bdon joww "yb`~d oxxfyw) ~bo~ fggctndw ~bd WJU, Flcp ~bd WJO `w u`wtoc`{dn, W~dl~ "w~) `w }xdwdl~,Efccfy`li o gftxwd fe gbdjfxon`o~`fl# efccfy*t} w~tnp "H) or`oc `joid oln "G) gfxfloc xdgflw~xtg~`fl `joidwbfy ldy j`l`joc }o~dlgp fe ~bd WJU "cfli yb`~d oxxfy), WJO oln W]G oxd lf~dn, ]fw~f}dxo~`ud "N) or`oc `joidwbfyw ixoe~ "i) ~bo~ yow wtggdwwetccp }cogdn, WJO `w lf~dn,

    ^ojj d~ oc>?5

  • 7/31/2019 staging cancer pancreas RADIOLOGY

    11/22

    fx ~b`lldx)# h`}bow`g ~dgbl`qtd `w gxtg`oc ~f `ndl~`ep

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  • 7/31/2019 staging cancer pancreas RADIOLOGY

    12/22

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  • 7/31/2019 staging cancer pancreas RADIOLOGY

    13/22

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  • 7/31/2019 staging cancer pancreas RADIOLOGY

    14/22

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  • 7/31/2019 staging cancer pancreas RADIOLOGY

    15/22

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    W~oi`li ]olgxdo~`g Ondlfgoxg`lfjo >8?

  • 7/31/2019 staging cancer pancreas RADIOLOGY

    16/22

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    ^ojj d~ oc>88

  • 7/31/2019 staging cancer pancreas RADIOLOGY

    17/22

    o wdlw`~`u`~p fe 94$ ~f 29$#5?57 o xdgdl~ w~tnp

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    W~oi`li ]olgxdo~`g Ondlfgoxg`lfjo >87

  • 7/31/2019 staging cancer pancreas RADIOLOGY

    18/22

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    ^ojj d~ oc>8>

  • 7/31/2019 staging cancer pancreas RADIOLOGY

    19/22

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  • 7/31/2019 staging cancer pancreas RADIOLOGY

    20/22

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    oln ft~gfjd, @l~ K Iow~xf`l~dw~ Golgdx 8==717>"87);?8?2,

    8?, Yb`~d XX# R`d BH# If~~ex dn JX# d~ oc, W`il`e`golgd fe

    b`w~fcfi`goc xdw}flwd ~f }xdf}dxo~`ud gbdjfxon`f*

    ~bdxo}p efx }olgxdo~ g golgdx, Oll Wtxi Flgfc

    8==41?8"7);8?>8?,

    88, ]`li}ola KE# Bfeejol K]# Xfww DO# d~ oc, Deedg~ fe

    }xdf}dxo~`ud gbdjfxon`f~bdxo}p fl wtxi`goc joxi`l

    w~o~tw fe xdwdg~dn ondlfgoxg`lfjo fe ~bd bdon

    fe ~bd }olgxdow, K Iow~xf`l~dw~ Wtxi 8==?14"8);

    ?8?7=,

    87, Bd`lx`gb W# Wgboedx J# Ydhdx O# d~ oc, Ldfonktuol~

    gbdjf~bdxo}p idldxo~dw o w`il`e gol~ ~tjfx xd*

    w}flwd `l xdwdg~ohcd }olgxdo~`g golgdx y`~bft~

    `lgxdow`li jfxh`n`~p; xdwtc~w fe o }xfw}dg~`ud }bowd

    @@ ~x`oc, Oll Wtxi 8==218>2"5);?=?>88,

    8>, Duolw NH# Uoxonbogboxp IX# Gxold GB# d~ oc,

    ]xdf}dxo~`ud idjg ~oh`ld*howdn gbdjfxon`o~`fl

    efx }o~`dl~w y`~b xdwdg~ohcd ondlfgoxg`lfjo fe ~bd

    }olgxdo~`gbdon, K Gc`l Flgfc 8==2185"8?);7>054=8,

    84, Uoxonbogboxp IX# Yfcee XO# Gxold GB# d~ oc, ]xdf}*

    dxo~ ud idjg`~oh`ld oln g`w}co~`l efccfydn hp

    idjg ~oh`ld*howdn gbdjfxon`o~`fl efx xdwdg~ohcd

    ondlfgoxg`lfjo fe ~bd }olgxdo~`g bdon, K Gc`l Fl*gfc 8==2185"8?);7>2904,

    85, Bd`lx`gb W# ]dw~ocf{{` HG# Wgboedx J# d~ oc, ]xfw}dg*

    ~`ud }bowd @@ ~x`oc fe ldfonktuol~ gbdjf~bdxo}p

    y`~b idjg`~oh`ld oln g`w}co~`l efx xdwdg~ohcd

    ondlfgoxg`lfjo fe ~bd }olgxdo~`g bdon, K Gc`l Fl*

    gfc 8==2185"?4);84857?,

    89, Drfgx`ld oln dlnfgx`ld }olgxdow, @l; Dnid WH#

    Hpxn NX# Gfj}~fl GG# d~ oc# dn`~fxw, OKGG golgdx

    w~oi`li joltoc, 9~b dn ~`fl, Ldy Pfxa; W}x lidx1

    8=?=, }, 8>?4=,

    82, Etbxjol IJ# Cdogb WN# W~ocdp GO# d~ oc, Xo~`f*locd efx dl hcfg ud`l xdwdg~`fl `l ~bd ~xdo~jdl~ fe

    }olgxdo~`g ondlfgoxg`lfjo onbdxdl~ ~f ~bd wt}d*

    x`fx jdwdl~dx`g*}fx~oc ud`l gflectdlgd, ]olgxdo~`g

    ^tjfx W~tnp Ixft}, Oll Wtxi ?0051887"8);

    ?4>58,

    80, dj}dxf JO# Oxlfcd~~` K]# Hdbxjol W# d~ oc, ]olgxd*

    o~`g ondlfgoxg`lfjo, K Lo~c Gfj}x Golg Ld~y

    8=?=12"0);098?=?9,

    7=, Lo~`floc Gfj}xdbdlw`ud Golgdx Ld~yfxa @, Gc`l`goc

    }xog~`gd it`ndc`ldw `l flgfcfip; }olgxdo~`g ondlf*

    goxg`lfjo, Q}ne e`cdZ, 8=??, ?,8=?8, Ouo`cohcd o~;

    b~~};&&yyy,lggl,fxi&}xfedww`flocw&}bpw`g`olVicw&]NE&

    }olgxdo~`g,}ne, Oggdwwdn Lfudjhdx 9# 8=??,

    7?, Ao~{ JB# ]`w~dxw ]Y# Cdd KD# d~ oc, Hfxndxc`ld

    xdwdg~ohcd }olgxdo~`g golgdx; ybo~ boud yd cdoxldn

    oln ybdxd nf yd if exfj bdxd6 Oll Wtxi Flgfc

    8=??1?2"7);5=2?=,

    78, Ohxojw XO# Cfyp OJ# FXd`ccp DJ# d~ oc, Gfjh`ldn

    jfnoc ~p ~xdo~jdl~ fe xdwdg~ohcd oln hfxndx*

    c`ld xdwdg~ohcd }olgxdow golgdx; dr}dx~ gflwdl*

    wtw w~o~djdl~, Oll Wtxi Flgfc 8==01?5"9);

    ?94?5,

    77, A`j # Jtxoaoj` # oaobowb` W# d~ oc, ]olgxdo~`g G^`joi`li; deedg~w fe n eedxdl~ `lkdg~ fl xo~dw oln

    nfwdw fe gfl~xow~ jo~dx`oc, Xon`fcfip ?00018?8"?);

    8?084,

    7>, Wgbtdccdx I# Wgb`jo Y# Wgbtdccdx*Yd`ndaojj G#

    d~ oc, Jtc~ nd~dg~fx G^ fe }olgxdow; deedg~w fe

    gfl~xow~ jo~dx`oc ecfy xo~d oln `ln`u`ntoc`{dn wgol

    ndcop fl dlbolgdjdl~ fe }olgxdow oln ~tjfx

    gfl~xow~, Xon`fcfip 8==518>?"8);>>?2,

    74, ^thc`l JD# dwwcdx EL# Gbdli WC# d~ oc, Deedg~ fe

    `lkdg~`fl xo~d fe gfl~xow~ jdn`tj fl }olgxdo~`g

    oln bd}o~`g bdc goc G , Xon`fcfip ?00018?="?);

    09?=?,

    75, Ecd~gbdx KI# Y`dxwdjo JK# Eoxxdcc JO# d~ oc, ]olgxd*

    o~`g joc ilolgp; uoctd fe ox~dx`oc# }olgxdo~`g# oln

    bd}o~`g }bowd `joi`li y`~b jtc~`*nd~dg~fx xfy G^,

    Xon`fcfip 8==71880"?);2?0=,

    79, Eopon CJ# J ~gbdcc NI, Joild~ g xdwflolgd

    `joi`li fe }olgxdo~`g ondlfgoxg`lfjo, @l~ K Iow*

    ~xf`l~dw~ Golgdx 8==?17="?8);?084,

    72, ]ojtacox D# Wdjdcao XG, JX `joi`li fe ~bd

    }olgxdow, Joil Xdwfl @joi`li Gc l Lfx~b Oj

    8==41?7"8);7?77=,

    70, A`j KB# ]oxa WB# Pt DW# d~ oc, U`wtoccp `wfo~~dlto~`li}olgxdo~`g ondlfgoxg`lfjo o~ nploj`g*dlbolgdn

    G^; exdqtdlgp# gc`l`goc oln }o~bfcfi`g gboxog~dx`w*

    ~`gw# oln n`oilfw`w o~ `joi`li droj`lo~`flw, Xon`*

    fcfip 8=?=1849"?);2905,

    ^ojj d~ oc>85

    http://www.nccn.org/professionals/physician_gls/PDF/pancreatic.pdfhttp://www.nccn.org/professionals/physician_gls/PDF/pancreatic.pdfhttp://www.nccn.org/professionals/physician_gls/PDF/pancreatic.pdfhttp://www.nccn.org/professionals/physician_gls/PDF/pancreatic.pdf
  • 7/31/2019 staging cancer pancreas RADIOLOGY

    21/22

    >=, ojj D]# Cfpdx DJ# Eox`o WG# d~ oc, Xd~xfw}dg~`ud

    olocpw`w fe ntoc*}bowd JNG^ oln efccfy*t} DTW&

    DTW*ELO `l ~bd n`oilfw`w fe }olgxdo~`g golgdx, Oh*

    nfj @joi`li 8==9178"4);55=9,

    >?, Y`dxwdjo JK# U`cjoll ]# I`fuoll`l` J# d~ oc, Dlnf*

    wflfixo}bp*it`ndn e`ld*lddncd ow}`xo~`fl h`f}wp;

    n`oilfw~`g oggtxogp oln gfj}c`go~`fl owwdwwjdl~,Iow~xfdl~dxfcfip ?0091??8">);?=2904,

    >8, I`fuoll`l` J, ^bd }cogd fe dlnfwgf}`g tc~xowftln `l

    h`c`f*}olgxdo~`g }o~bfcfip, Iow~xfdl~dxfc Gc`l H`fc

    8=?=17>"20);>75>4,

    >7, W~xfhdc A# Bd`lx`gb W# Hbtxd T# d~ oc, Gfl~xow~*

    dlbolgdn ?2E*ENI ]D^&G ; ?*w~f}*wbf} `joi`li

    efx owwdww`li ~bd xdwdg~oh`c`~p fe }olgxdo~`g golgdx,

    K Ltgc Jdn 8==21>0"0);?>=2?7,

    >>, Ndchdad N# Jox~`l YB, ]D^ oln ]D^&G^ efx }olgxd*

    o~`g joc`ilolg`dw, Wtxi Flgfc Gc`l Lfx~b Oj 8=?=1

    ?0"8);8744>,

    >4, Ct NW# Xdhdx BO# Axowlp XJ# d~ oc, Cfgoc w~oi`li fe

    }olgxdo~`g golgdx; gx ~dx o efx tlxdwdg~oh`c ~p fe

    jokfx udwwdcw ow xdudocdn hp }olgxdo~`g*}bowd#

    ~b`l*wdg~`fl bdc goc G , OKX Oj K Xfdl~idlfc

    ?0091?52"5);?>70>7,

    >5, Cdd KA# A`j OP# A`j ]L# d~ oc, ]xdn`g~`fl fe uowgtcox

    `lufcudjdl~ oln xdwdg~oh`c ~p hp jtc~`nd~dg~fx*xfy

    G^ udxwtw JX `joi`li y`~b JX oli`fixo}bp `l

    }o~ dl~w ybf tlndxydl~ wtxidxp efx xdwdg~ fl fe

    }olgxdo~`g ntg~oc ondlfgoxg`lfjo, Dtx K Xon`fc

    8=?=197"8);7?=5,

    >9, Aoldaf FE# Cdd NJ# Yfli K# d~ oc, ]dxefxjolgd fejtc~`nd~dg~fx gfj}t~dn ~fjfixo}b`g oli`fixo}bp

    `l nd~dxj`l`li wtxi`goc xdwdg~oh`c ~p fe }olgxdo~`g

    bdon ondlfgoxg`lfjo, K Gfj}t~ Oww`w~ fjfix

    8=?=17>"4);9782,

    >2, [ojhfl` IO# Axtwaoc KH# Ufccjdx GJ# d~ oc, ]olgxd*

    o~`g ondlfgoxg`lfjo; uoctd fe jtc~`nd~dg~fx G^

    oli`fixo}bp `l }xdf}dxo~`ud duocto~ fl, Xon`fcfip

    8==918>4"7);99=2,

    >0, ojj D]# Cfpdx DJ# Eox`o W# d~ oc, W~oi`li fe

    }olgxdo~ g golgdx y`~b jtc~ nd~dg~fx G^ `l ~bd

    wd~~`li fe }xdf}dxo~`ud gbdjfxon`o~`fl ~bdxo}p, Oh*

    nfj @joi`li 8==517?"4);4529>,

    4=, Uoccw G# Oln`o D# Wolgbd{ O# d~ oc, Ntoc*}bowd

    bdc`goc G^ fe }olgxdo~`g ondlfgoxg`lfjo; owwdww*

    jdl~ fe xdwdg~oh`c ~p hdefxd wtxidxp, OKX Oj K

    Xfdl~idlfc 8==81?92">);28?5,

    4?, Oxwcol O# Htoldw # Id`~tli K , ]olgxdo~`g goxg`*

    lfjo; JX# JX oli`fixo}bp oln nploj`g bdc goc

    G^ `l ~bd duocto~`fl fe uowgtcox `luow`fl, Dtx K Xo*

    n`fc 8==?172"8);?4?0,

    48, Owcol`ol B# Wocdj X# Cdd K# d~ oc, DTW n`oilfw`w fe

    uowgtcox `luow`fl `l }olgxdo~`g golgdx; wtxi`goc oln

    b`w~fcfi`g gfxxdco~dw, Oj K Iow~xfdl~dxfc 8==41?=="5);?72?4,

    47, Wfx`olf O# Gow~dccw O# Optwf G# d~ oc, ]xdf}dxo~`ud

    w~oi`li oln ~tjfx xdwdg~oh`c ~p owwdwwjdl~ fe

    }olgxdo~`g golgdx; }xfw}dg~`ud w~tnp gfj}ox li

    dlnfwgf}`g tc~xowflfixo}bp# bdc`goc gfj}t~dn ~f*

    jfixo}bp# joild~`g xdwflolgd `joi`li# oln

    oli`fixo}bp, Oj K Iow~xfdl~dxfc 8==>100"7);

    >084=?,

    4>, Ndy`~~ K# Ndudxdotr HJ# Cdbjol IO# d~ oc, Gfj}ox*

    `wfl fe dlnfwgf}`g tc~xowftln oln gfj}t~dn

    ~fjfixo}bp efx ~bd }xdf}dxo~ ud duocto~ fl fe}olgxdo~`g golgdx; o wpw~djo~`g xdu`dy, Gc`l Iow~xf*

    dl~dxfc Bd}o~fc 8==51>"5);9?984 Qqt`{; 55>Z,

    44, ]oa{on E# Ixfudw OJ# Dcc ]K, ^bd xfcd fe }fw`~xfl

    dj`ww`fl ~fjfixo}bp `l ~bd joloidjdl~ fe

    }olgxdo~`g golgdx, Wdj`l Ltgc Jdn 8==5175"7);

    8>245,

    45, Hoxdw X# Nfbjdl HJ# Gxdjdx`tw T# d~ oc, Xdwtc~w fe

    }fw`~xfl dj`ww`fl ~fjfixo}bp y`~b ectfx ld*?2

    cohdcdn ectfxfndfrpictgfwd `l n`eedxdl~`oc n`oilfw`w

    oln w~oi`li fe }olgxdo~`g goxg`lfjo, Xon`fcfid

    ?005175"4);>74>= Q`l IdxjolZ,

    49, Hoxdw X# Acdudx ]# Bot}~joll W# d~ oc, E*?2 ectfxf*

    ndfrpictgfwd ]D^ `l u`uf duocto~`fl fe }olgxdo~`g

    ictgfwd jd~ohfc`wj efx nd~dg~`fl fe }olgxdo~`g

    golgdx, Xon`fcfip ?00>1?08"?);9025,

    42, Aoco [# Uocda U# Bcouwo K# d~ oc, ^bd xfcd fe G^

    oln dlnfwgf}`g tc~xowftln `l }xd*f}dxo~ ud w~oi*

    `li fe }olgxdo~`g golgdx, Dtx K Xon`fc 8==9158"8);

    ?550,

    40, J`~wtbowb` # Iboeox` W# Gboli GP# d~ oc, Dlnf*

    wgf}`g tc~xowftln*it`ndn e`ld lddncd ow}`xo~`fl fe

    ~bd }olgxdow; gp~fjfx}bfcfi`goc duocto~`fl y`~b

    dj}bow`w fl ondqtogp owwdwwjdl~# n`oilfw~`ggx`~dx`o oln gfl~oj`lo~`fl exfj ~bd iow~xf`l~dw~`loc

    ~xog~, Gp~f}o~bfcfip 8==51?9"?);7>>?,

    5=, I`fuoll`l` J# ^bfjow H# Dxyol H# d~ oc, Dlnf*

    wgf}`g tc~xowftln dcow~fixo}bp efx duocto~`fl fe

    cpj}b lfndw oln }olgxdo~ g jowwdw; o jtc~ *

    gdl~dx w~tnp, Yfxcn K Iow~xfdl~dxfc 8==01?4"?7);

    ?42907,

    5?, X`gb~dx IJ# W`jfl G# Bfeejoll U# d~ oc, Bpnxfw}`xoc

    G^ fe ~bd }olgxdow `l ~b`l wdg~`fl ~dgbl`qtd, Xon`fc*

    fid ?005175"4);709>=4 Q`l IdxjolZ,

    58, xdnd J# Xtjw~on~ H# Ydlnc A# d~ oc, Tc~xoeow~

    joild~`g xdwflolgd `joi`li `j}xfudw ~bd w~oi`li

    fe }olgxdo~ g ~tjfxw, Oll Wtxi ?0091885">);

    707>=4 Qn`wgtww`fl; >=49Z,

    57, Gocgtcc C# Gowond` X# N`ogflf N# d~ oc, Xfcd fe w}`xoc

    gfj}t~dx`{dn ~fjfixo}bp `l ~bd w~oi`li fe }olgxd*

    o~`g goxg`lfjo, Xon`fc Jdn ?002104">);7>>2 Q`l

    @~oc`olZ,

    5>, @at~o P# ^oaojfx` B# @adno F# d~ oc, Nd~dg~`fl fe c`udx

    jd~ow~owdw wdgflnoxp ~f }olgxdo~`g golgdx; t~`c`~p

    fe gfjh`ldn bdc`goc gfj}t~dn ~fjfixo}bp ntx`li

    ox~dx`oc }fx~fixo}bp y`~b h`}bow`g gfj}t~dn ~fjfi*

    xo}bp*oww`w~dn bd}o~`g ox~dx`fixo}bp, K Iow~xfdl~dx*fc 8=?=1>4"?8);?8>?5,

    54, Jf~fwti T# @gb`aoyo ^# Jfx`woao B# d~ oc, Nd~dg~`fl

    fe }olgxdo~`g goxg`lfjo oln c`udx jd~ow~owdw y`~b

    ionfrd~`g og`n*dlbolgdn JX `joi`li; gfj}ox`wfl

    W~oi`li ]olgxdo~`g Ondlfgoxg`lfjo >89

  • 7/31/2019 staging cancer pancreas RADIOLOGY

    22/22

    y`~b gfl~xow~*dlbolgdn jtc~`*nd~dg~fx xfy G^, Xon`*

    fcfip 8=??185="8);>>547,

    55, Wobol` NU# Aocuo W]# E`wgbjol OK# d~ oc, Nd~dg~`fl

    fe c`udx jd~ow~owdw exfj ondlfgoxg`lfjo fe ~bd

    gfcfl oln }olgxdow; gfj}ox`wfl fe jolioefn`} x

    ~x`wfn`tj*dlbolgdn c`udx JX@ oln ybfcd*hfnp

    ENI ]D , OKX Oj K Xfdl~idlfc 8==41?24"?);870>5,

    59, Exfbc`gb O# N`dndx`gbw GI# W~o`h C# d~ oc, Nd~dg~`fl

    fe c`udx jd~ow~owdw exfj }olgxdo~`g golgdx tw`li

    ENI ]D^, K Ltgc Jdn ?0001>="8);84=4,

    52, N`dndx gbw GI, ]olgxdo~`g golgdx, @l; Xtbcjoll K#

    Fdbx ]# H`dxwoga BK# dn`~fxw, ]D^ `l flgfcfip,

    Hdxc`l; W}x`lidx*Udxcoi1 ?000, }, ?827>,

    50, ]`w~dxw ]Y# Cdd KD# Uot~bdp KL# d~ oc, Co}oxfwgf}p

    `l ~bd w~oi`li fe }olgxdo~`g golgdx, Hx K Wtxi 8==?1

    22"7);78479,

    9=, @{t`wb` A# Pojojf~f P# Wolf # d~ oc, @j}og~ fe ?2*

    ectfxfndfrpictgfwd }fw`~xfl dj`ww fl ~fjfixo}bp

    fl ~bd joloidjdl~ fe }olgxdo~`g golgdx, K Iow~xf*

    `l~dw~ Wtxi 8=?=1?>"9);??4?2,9?, Duolw NH# Gxold GB# Gboxlwolioudk G# d~ oc, ^bd

    onndn uoctd fe jtc~`n`wg`}c`loxp goxd efx }o~ dl~w

    y`~b }olgxdo~`g golgdx, Oll Wtxi Flgfc 8==21

    ?4"2);8=922=,

    98, If~~c`dh X# d~ oc, G^ flgf }x`joxp }olgxdow joww

    ~dj}co~d, 8=??, Ouo`cohcd o~; b~~};&&yyy,xonxd}fx~,

    fxi&~r~&=====?2, Oggdwwdn Lfudjhdx ?># 8=??,

    ^ojj d~ oc>82

    http://www.radreport.org/txt/0000018http://www.radreport.org/txt/0000018http://www.radreport.org/txt/0000018http://www.radreport.org/txt/0000018