Is the cancer growing into any of the major blood vessels running by the pancreas that would make the removal of the tumor dangerous or impossible?
Typically we use our high definition three-dimensional CT scan to determine whether the cancer is growing into any of the major blood vessels running by the pancreas. In many cases, it is extremely important that these images are obtained on 64 or 32 detector CT machines. These cutting-edge imaging machines are available at Johns Hopkins. Images obtained on 16 or 8 detector machines are significantly inferior in quality.
Specifically, the major blood vessels we examine are:
1. the portal vein/superior mesenteric vein (drains blood from the intestines to the liver),
2. superior mesenteric artery (supplies blood from the heart to the intestines), and
3. the hepatic artery (supplies blood from the heart to the liver).
If there is significant involvement of any of these major blood vessels, the pancreas cancer may not be surgically removable (unresectable). In these instances the cancer is best treated medically.
My tumor can be surgically removed
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