New Concepts in Staging and Treatment of Locally Advanced Pancreatic Head Cancer

• Published in: American journal of roentgenology (1976) Vol. 189; no. 5; pp. 1044 - 1050
• Main Authors: Lall, Chandana G, Howard, Thomas J, Skandarajah, Arunan, DeWitt, John M, Aisen, Alex M, Sandrasegaran, Kumaresan
• Format: Journal Article
• Language: English
• Published: Leesburg, VA Am Roentgen Ray Soc 01.11.2007; American Roentgen Ray Society
• Subjects: Aged; Aged, 80 and over; Biological and medical sciences; Female; Gastroenterology. Liver. Pancreas. Abdomen; Humans; Investigative techniques, diagnostic techniques (general aspects); Liver. Biliary tract. Portal circulation. Exocrine pancreas; Male; Medical sciences; Middle Aged; Neoplasm Staging - methods; Pancreatectomy - methods; Pancreatic Neoplasms - diagnosis; Pancreatic Neoplasms - therapy; Practice Guidelines as Topic; Practice Patterns, Physicians; Prognosis; Stomach, duodenum, intestine, rectum, anus; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the digestive system; Tomography, X-Ray Computed - methods; Tumors; Human; Nuclear medicine; Radiodiagnosis; Duodenum; Pancreatic head; Malignant tumor; Treatment; Surgery; Blood vessel; Pancreas cancer; Radiology; Digestive diseases; Medical imagery; Computerized axial tomography; Pancreatic disease; Pancreatoduodenectomy
• ISSN: 0361-803X; 1546-3141
• DOI: 10.2214/AJR.07.2131

The objective of this article is to discuss the CT findings that guide surgeons in deciding the feasibility of tumor excision in patients with locally advanced pancreatic head cancers. Vascular resection as an adjunct to pancreaticoduodenectomy is increasingly used in pancreatic head cancer. As a result, the imaging criteria to determine which patients are candidates for potentially curative resection are evolving.