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

Clinical Features

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

Ultrasound

CT Scan - Normal

CORONAL VIEWAXIAL VIEW

CT Scan

Focal hypodense mass

Pancreatic Cancer Patient

CT Scan

Perivascular tumor extension

Pancreatic Cancer Patient

CT Scan

Bile duct and/or pancreatic duct dilatation

Pancreatic Cancer Patient