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33

NCCN Guidelines for Patients

®

:

Pancreatic Cancer, Version 1.2017

5

Treatment guide

Pancreatic cancer testing

Part 5 is a guide through the treatment

options for people with pancreatic cancer.

It shows what tests and treatments are

recommended under which conditions.

This information is taken from the

treatment guidelines written by NCCN

experts for pancreatic cancer doctors.

Pancreatic cancer testing

Certain tests are recommended to confirm (diagnose)

pancreatic cancer and see how far it has spread.

The extent of the cancer affects which treatment is

best for you. For pancreatic cancer, imaging tests are

used to determine the extent of cancer. Imaging tests

take pictures of the inside of the body.

Guide 4

shows the initial tests recommended for

pancreatic cancer. Testing is started when your

doctors find signs of pancreatic cancer. Doctors will

ask about your family history before the tests.

Guide 4. Tests to confirm pancreatic cancer

Test and results

Disease

Next tests

Pancreatic protocol CT scan-

shows mass in pancreas

ª

• No metastases

ª

• Team of doctors review plan

• Possible EUS

• Liver function tests

• Chest CT preferred or x-ray

ª

• Metastases

ª

• Biopsy to confirm

Pancreatic protocol CT scan-

shows no mass in pancreas

ª

• No metastases

ª

• Team of doctors review plan

• Chest CT preferred or x-ray

• MRI/MRCP or ERCP as needed

ª

• Metastases

ª

• Biopsy to confirm