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Pancreatic hypodense mass in the body of the pancreas with posterior growth, involving coeliac trunk, origin of common hepatic and splenic artery, and SMA.
Portal vein stenosis, with cavernomatosis, and mesenteric collateral veins.
There is no liver or mesenteric involvement.
This is an unresectable tumor because vascular involvement can preclude resection, and in this case, there is involvement of almost all vascular structures adjacent to the pancreas.
- Brennan et al, Comprehensive Preoperative Assessment of Pancreatic Adenocarcinoma with 64-Section Volumetric CT, RadioGraphics 2007; 27:1653–1666. http://pubs.rsna.org/doi/full/10.1148/rg.276075034