It is generally accepted that computed tomographic
(CT) scans have an excellent predictive capacity to identify unresectable
pancreatic cancer; however, resectability may not be determined in up to 20% of
patients. CT scans fail to detect metastatic tumors that are smaller than 5 mm
in diameter, such as small-volume peritoneal and hepatic metastases. Accurate
staging is the cornerstone of treatment decisions for patients with pancreatic
cancer; thus, diagnostic laparoscopy is indicated because it enables visual
examination of the liver and the peritoneum and provides the capacity to biopsy
potential extrapancreatic disease.
- CT scan and laparoscopy.
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Seminars in Medical Practice
Hospital Physician Board Review Manuals
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