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 VIEW AXIAL VIEW

CT Scan Focal hypodense mass Pancreatic CancerPatient

CT Scan Perivascular tumor extension Pancreatic CancerPatient

CT Scan Bile duct and/or pancreatic duct dilatation Pancreatic CancerPatient