all patients with suspected
pancreatic tumors
multidetector computed tomographic (CT) scan with thin cuts through the pancreas.
--information about vascular involvement and metastases
--approximately 90% accurate in assessing resectability
--Endoscopic ultrasonography
--fine-needle aspiration under endoscopic guidance
--endoscopic retrograde cholangiopancreatography
--transhepatic cholangiography
--Laparoscopy, occult metastases in the peritoneum or the surface of the liver
--definitive diagnosis established by a fine-needle aspiration biopsy of the primary or metastatic site.
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