By Matthew H.G. Katz, Syed A. Ahmad
This quantity offers the main finished assurance of scientific administration of borderline resectable pancreatic melanoma to be had. Authored by means of leaders within the box, the e-book makes a speciality of present medical administration of this illness level, the significance of multimodality therapy algorithms, and an interdisciplinary method of care. Surgical chapters are well-illustrated to supply surgeons and surgical trainees with vital technical pearls. scientific trials and trial layout also are discussed.
Multimodality administration of Borderline Resectable Pancreatic Cancer is a precious source for gastroenterologists, scientific oncologists, radiation oncologists, surgical oncologists, normal surgeons, and trainees attracted to the therapy of pancreatic cancer.
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Extra resources for Multimodality Management of Borderline Resectable Pancreatic Cancer
If however, the CT does not show a mass and the clinical suspicion for pancreatic cancer is high, then an EUS should be performed at which time an FNA can also be performed [25, 26]. Finally, and of great consolation for our patients and healthcare providers is the finding of a normal EUS when searching for a pancreatic cancer. EUS is associated with the best negative predictive value in patients with suspected pancreatic cancer [27–30]. Klapman and colleagues retrospectively reviewed nearly 700 patients with suspected pancreatic cancer who underwent EUS over a 4-year period.
20. 21. 22. 23. 24. A. M. McDonald 30 25. Koelblinger C, Ba-Ssalamah A, Goetzinger P, Puchner S, Weber M, Sahora K, et al. 0-T MR imaging versus multiphasic 64-detector row CT: prospective evaluation in patients suspected of having pancreatic cancer. Radiology. 2011;259(3):757–66. 26. Lee JK, Kim AY, Kim PN, Lee MG, Ha HK. Prediction of vascular involvement and resectability by multidetector-row CT versus MR imaging with MR angiography in patients who underwent surgery for resection of pancreatic ductal adenocarcinoma.
Vascular adherence was defined as tumor adherence requiring vascular resection and vascular invasion was defined as histologic invasion of vessel wall by tumor. They used both the radial and linear echoendoscopes. Thirty of 68 patients were eventually resectable. Sensitivity, specificity, PPV, and NPV of EUS were 63 %, 64 %, 43 %, and 80 % for vascular adherence and 50 %, 58 %, 28 %, and 82 % for vascular invasion, respectively. Similar to Rösch’s study, Aslanian and colleagues found that the NPV rose to 90 % for vascular adherence if only the portal confluence was considered.