Pancreas

Question 1

Borderline resectable pancreatic cancer

Answer 1

portal vein/SMV > 180 degrees TVI but reconstructable
hepatic artery - reconstructable short segment of any TVI
SMA/Celiac - < 180 degrees of TVI

Question 2

RT indications for pancreatic cancer

Answer 2

borderline (Chemo -> chemoRT or SBRT -> assess for resectability -> surgery)
Locally advanced (chemo -> restage -> consider dose-escalated RT or SBRT)