Computed tomography-based diagnostics might be insufficient in the determination of pancreatic cancer unresectability

doi:10.4240/wjgs.v5.i4.83

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Apr 27, 2013 (publication date) through Nov 15, 2024

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World Journal of Gastrointestinal Surgery

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1948-9366

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Gastrointest Surg. Apr 27, 2013; 5(4): 83-96
Published online Apr 27, 2013. doi: 10.4240/wjgs.v5.i4.83

Table 2 The characteristics of patients who underwent radical (R0-1) surgery for pancreatic ductal adenocarcinoma with circular arterial involvement on computed tomography (group A)

Stage R factor		PDAC location	Artery involved on CT	ChT	DFS (mo)	Survival (mo)
сT4NхM0	pT3N1M0(R1)	Head	rRHA	+	17	19
сT4NхM0	pT3N1M0(R1)	Body	SMA	+	20	27
сT4NхM0	pT3N1M0(R1)	Body	SMA	+	19	22
сT4N1M0	pT3N1M0(R1)	Head	SMA	+	17	23
сT4NхM0	pT3N0M0 (R1)	Total	CHA	-	12	14
сT4NхM0	pT3N1M0(R1)	Head	SMA + SMA²	+	NA	17¹
сT4N1M0	pT2N0M0 (R0)	Body	CA and LHA	+	16	16¹
сT4N1M0	pT3N1M0(R1)	Head	SMA	+	10	12
сT4N1M0	pT3N1M0(R1)	Body	GDA	-	6	8
сT4NхM0	pT4N1M0(R1)	Body	SMA	+	NA	11¹
сT4N1M0	pT3N1M0(R1)	Head	SMA and CA	+	10	11¹

¹Alive;

²In case 6 there were two SMA segments involved on CT. SMA: Superior mesenteric artery; rRHA: Replaced right hepatic; LHA: Left hepatic; CA: Celiac artery; GDA: Gastroduodenal artery; PDAC: Pancreatic ductal adenocarcinoma.

Citation: Egorov VI, Petrov RV, Solodinina EN, Karmazanovsky GG, Starostina NS, Kuruschkina NA. Computed tomography-based diagnostics might be insufficient in the determination of pancreatic cancer unresectability. World J Gastrointest Surg 2013; 5(4): 83-96
URL: https://www.wjgnet.com/1948-9366/full/v5/i4/83.htm
DOI: https://dx.doi.org/10.4240/wjgs.v5.i4.83