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🌱來自: pancreatic cancer

Diagnostic and staging evaluation of pancreatic cancer

(NCCN Guidelines v.2.2021) • Pancreatic protocol CT scan (I+ w/ arterial & venous phase imaging) or MRI w/ contrast • If no lesion seen but concerning signs & sx as above → EUS, ERCP, or MRCP • Biopsy pancreatic lesion via EUS-guided FNA (pref. for surgical candidates) or CT-guided (risk of seeding); if possible metastases, biopsy those for staging and dx. • ✓ CA19-9 preop (nb, can be ↑ in benign liver/biliary dis.); may be useful to trend postop • Germline genetic testing for all Pts with pancreatic cancer