Pancreatic ductal adenocarcinoma

Discussion:

The most common hypoenhancing tumor of pancreas is the ductal adenocarcinoma. The encasement of celiac axis and SMA makes the tumor unresectable (stage T4). This case demonstrates the typical perineural and perivascular invasion of a pancreatic adenocarcinoma, making it one of the most lethal abdominal neoplasms. 

Despite improvements in survival rates, currently, stage IV pancreatic ductal adenocarcinoma has a 5 year survival rate of <1%. 

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