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GastroEnterology

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Question:

What does CT tells us regarding resectability?

Author: H K



Answer:

Longstanding CT is done to see resectability, sees distant metastasis (liver...), encasement of celiac axis/SMA, occlusion of portal vein/SMV. If tumor in tail/body usually easier to resect since no vessels are involved, while in head, bulb, duodenum and stomach are involved, so we remove them monoblock (all together) + remove SMA + SMV (which can be reconstructed) 10-15% are resectable, and 40% 5 year death.


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H K
H K