Computed tomography-based diagnostics might be insufficient in the determination of pancreatic cancer unresectability

Figure 3 In this 65-year-old man (case #10), pancreatic body DAC with 360° celiac (CA), splenic (SA) and superior mesenteric artery (SMA) encasement was established on CT (A, B), but endoUS data did not confirm this conclusion, finding a plane between the tumor and the SMA (C, D, arrows). AMS: Arteria mesenterica superior, AO: Aorta, T: Tumor. Distal pancreatectomy with excision of the celiac artery (CA) and left adrenalectomy were performed, and no SMA involvement was identified during surgery (E). The level of resection was R1 because of the contact of the SMA with the tumor. CHA: Common hepatic artery; CT: Celiac trunk; LRV: Left renal vein; PV: Portal vein.