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  • Imaging Recommendations for...
    Shetty, Nitin Sudhakar; Agarwal, Ujjwal; Choudhari, Amit; Gupta, Anurag; PG, Nandakumar; Bhandare, Manish; Gala, Kunal; Chandra, Daksh; Ramaswamy, Anant; Ostwal, Vikas; Shrikhande, Shailesh V.; Kulkarni, Suyash S.

    Indian journal of medical and paediatric oncology, 02/2023, Letnik: 44, Številka: 1
    Journal Article

    Abstract Pancreatic cancer is the fourth most prevalent cause of cancer-related death worldwide, with a fatality rate equal to its incidence rate. Pancreatic cancer is a rare malignancy with a global incidence and death ranking of 14th and 7th, respectively. Pancreatic cancer cases are divided into three categories without metastatic disease: resectable, borderline resectable, or locally advanced disease. The category is determined by the tumor's location in the pancreas and whether it is abutting or encasing the adjacent arteries and/or vein/s. The stage of disease and the location of the primary tumor determine the clinical presentation: the pancreatic head, neck, or uncinate process, the body or tail, or multifocal disease. Imaging plays a crucial role in the diagnosis and follow-up of pancreatic cancers. Various imaging modalities available for pancreatic imaging are ultrasonography (USG), contrast-enhanced computed tomography (CECT), magnetic resonance imaging (MRI), and 18-fluoro-deoxy glucose positron emission tomography (FDG PET). Even though surgical resection is possible in both resectable and borderline resectable non-metastatic cases, neoadjuvant chemotherapy with or without radiotherapy has become the standard practice for borderline resectable cases as it gives a high yield of R0 resection.