PMC6319680_01
Initial CT scan at presentation showing a locally advanced tumor (arrow) of the proximal pancreatic body (upper left) and dilatation of the main pancreatic duct with involvement of the major visceral vessels, including the celiac artery (upper right), portal vein (lower left; arrow), and splenic artery and vein (lower right; arrow).
fig-1.jpg
PMC6319680_01_fig-1.jpg
f1
Initially, her tumor was noted to involve the major visceral vessels, including the celiac artery, portal vein, and splenic artery and vein (Fig. 1).
CT scan post multidrug neoadjuvant chemotherapy with a poorly defined infiltrative pancreatic body mass measuring ~25 x 15 mm (top) with ill-defined soft tissue encasing the proximal splenic artery, common hepatic artery, distal celiac axis, and superior mesenteric artery (bottom). The mass (arrow) also abuts the portal vein (middle) and superior mesenteric vein.
fig-2.jpg
PMC6319680_01_fig-2.jpg
f2
The post neoadjuvant chemotherapy CT scan (Fig. 2) showed a poorly defined infiltrative pancreatic neck and body mass measuring ~25 x 15 mm with ill-defined soft tissue encasing the proximal splenic artery, common hepatic artery (CHA), distal celiac axis, and superior mesenteric artery (SMA).