Figure 101.3. Contrast-enhanced helical CT scan demonstrating a resectable adenocarcinoma of the pancreatic head.

Figure 101.3

Contrast-enhanced helical CT scan demonstrating a resectable adenocarcinoma of the pancreatic head. The low-density tumor is easily seen in the pancreatic head. Note the absence of tumor extension to the superior mesenteric artery (small arrow); there is a normal fat plane between the low-density tumor and the superior mesenteric artery. However, the tumor (area of low density) does extend to the superior mesenteric vein just inferior to the tip of the large arrow. This patient may require venous resection and reconstruction at the time of pancreaticoduodenectomy. This subtle finding would not be apparent on a lesser quality scan. The intrapancreatic portion of the common bile duct contains a stent that was endoscopically placed for biliary drainage.

From: Chapter 101, Neoplasms of the Exocrine Pancreas

Cover of Holland-Frei Cancer Medicine
Holland-Frei Cancer Medicine. 5th edition.
Bast RC Jr, Kufe DW, Pollock RE, et al., editors.
Hamilton (ON): BC Decker; 2000.
© 2000, BC Decker Inc.

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