NCCN Guidelines for Patients® | Pancreatic Cancer - page 45

43
NCCN Guidelines for Patients
®
Pancreatic Cancer, Version 1.2014
5.1
Treatment guide
Pancreatic cancer testing
Results and next tests
If the initial CT or MRI scan shows a tumor in
your pancreas,
then your doctor will give a few
more tests to plan treatment. If there are no signs of
metastases
(cancer that has spread far outside your
pancreas), then you may have an EUS so your doctor
can get a clearer view of your pancreas and see how
far the cancer has spread. You will also have blood
tests to check if your liver is working well and imaging
tests of your chest. (Read Part 2 on page 14 for
more test details.) A team of doctors who are experts
in different areas of cancer care should review the
test results and plan treatment. This is called a
multidisciplinary review. It should be done by experts
such as a radiologist, pathologist, surgeon, medical
oncologist, and radiation oncologist.
If there are signs
of metastases,
then your doctor will remove a sample
of the tumor to test for cancer cells. This is called a
biopsy.
If the initial imaging tests don’t show a tumor,
your doctors may still suspect pancreatic cancer. In
this case, you will have a few more tests to confirm if
you have cancer.
If there are no signs of metastases
(cancer that has spread far outside your pancreas),
you may have an EUS next. An EUS lets your doctors
see your pancreas more clearly and remove a sample
of tissue for testing—called a biopsy—if needed.
Along with EUS, other possible tests may include
MRCP and ERCP. You will also have blood tests to
check if your liver is working well and imaging tests
of your chest. (Read Part 2 on page 14 for more test
details.)
If there are signs of metastases
,
then your
doctor will remove a sample of tissue from the tumor
to test for cancer cells. This is called a biopsy. You will
also have an EUS so your doctor can see how far the
cancer has spread.
Next steps:
If no metastases were found, see Chart
5.1.2 for recommended follow-up tests.
If metastases were found, see Part
5.5 on page 68 for metastatic cancer
treatment recommendations.
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