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Pancreatic Adenocarcinoma
Paula Vergara-Wentland, MD; Paige Bennett, MD
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KEY FACTS

  • Imaging

    • Pathology

      • Clinical Issues

        TERMINOLOGY

        • Definitions

          • Malignant tumor of pancreas
            • Epithelial tumors
              • Exocrine
                • 95-99% of exocrine tumors arise from ductal epithelium
                • 90% ductal adenocarcinoma
                • 10% acinar cell carcinomas, serous or mucinous cystadenocarcinoma, intraductal papillary-mucinous neoplasm, pancreatoblastoma, or solid papillary carcinomas

        IMAGING

        • F-18 FDG PET/CT Findings

          • CT Findings

            • MR Findings

              • Ultrasonographic Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      • Staging, Grading, & Classification

                        CLINICAL ISSUES

                        • Presentation

                          • Demographics

                            • Natural History & Prognosis

                              • Treatment

                                DIAGNOSTIC CHECKLIST

                                • Consider

                                  Selected References

                                  1. Best LM et al: Imaging modalities for characterising focal pancreatic lesions. Cochrane Database Syst Rev. 4:CD010213, 2017
                                  2. Paspulati RM et al: PET/MR imaging in cancers of the gastrointestinal tract. PET Clin. 11(4):403-23, 2016
                                  3. Raman SP et al: Cross-sectional imaging and the role of positron emission tomography in pancreatic cancer evaluation. Semin Oncol. 42(1):40-58, 2015
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Imaging

                                    • Pathology

                                      • Clinical Issues

                                        TERMINOLOGY

                                        • Definitions

                                          • Malignant tumor of pancreas
                                            • Epithelial tumors
                                              • Exocrine
                                                • 95-99% of exocrine tumors arise from ductal epithelium
                                                • 90% ductal adenocarcinoma
                                                • 10% acinar cell carcinomas, serous or mucinous cystadenocarcinoma, intraductal papillary-mucinous neoplasm, pancreatoblastoma, or solid papillary carcinomas

                                        IMAGING

                                        • F-18 FDG PET/CT Findings

                                          • CT Findings

                                            • MR Findings

                                              • Ultrasonographic Findings

                                                • Imaging Recommendations

                                                  DIFFERENTIAL DIAGNOSIS

                                                    PATHOLOGY

                                                    • General Features

                                                      • Staging, Grading, & Classification

                                                        CLINICAL ISSUES

                                                        • Presentation

                                                          • Demographics

                                                            • Natural History & Prognosis

                                                              • Treatment

                                                                DIAGNOSTIC CHECKLIST

                                                                • Consider

                                                                  Selected References

                                                                  1. Best LM et al: Imaging modalities for characterising focal pancreatic lesions. Cochrane Database Syst Rev. 4:CD010213, 2017
                                                                  2. Paspulati RM et al: PET/MR imaging in cancers of the gastrointestinal tract. PET Clin. 11(4):403-23, 2016
                                                                  3. Raman SP et al: Cross-sectional imaging and the role of positron emission tomography in pancreatic cancer evaluation. Semin Oncol. 42(1):40-58, 2015