1. PANCREATIC CARCINOMA 90% are Ductal Adenocarcinoma Pancreatic head (70%), body (20%), tail (10%) Median age 72 years (65-84 y/o) Most tumors are diagnosed late and 85% are unresectable at the time of diagnosis Symptoms manifest late Early extrapancreatic spread of tumor Rapid downhill course from diagnosis to death

2. Clinical Features Abdominal pain Weightloss Jaundice (lesions in the pancreatic head) – Dark urine – Acholic stools – Pruritus

3. Ultrasound

4. CT Scan - Normal CORONAL VIEW AXIAL VIEW

5. CT Scan Focal hypodense mass Pancreatic CancerPatient

6. CT Scan Perivascular tumor extension Pancreatic CancerPatient

7. CT Scan Bile duct and/or pancreatic duct dilatation Pancreatic CancerPatient