Imaging findings of recurrent pancreatic cancer following resection.
Abdom Radiol (NY). 2018 Feb;43(2):489-496. doi: 10.1007/s00261-017-1397-8. Javadi S1, Karbasian N2, Bhosale P3, de Castro Faria S3, Le O3, Katz MH4, Koay EJ5, Tamm EP3.
Pancreatic cancer is a challenging malignancy to treat, largely due to aggressive regional involvement, early systemic dissemination, high recurrence rate, and subsequent low patient survival. Generally, 15-20% of newly diagnosed pancreatic cancers are candidates for possible curative resection. Eighty percent of these patients, however, will experience locoregional or distant recurrence in first 2 years. Although there is no strong evidence-based guideline for optimal surveillance after pancreatic cancer resection, careful comparison of surveillance follow-up multi-detector CT (MDCT) studies with a postoperative baseline MDCT examination aids detection of early recurrent pancreatic cancer. In this review article, we describe imaging findings suggestive of recurrent pancreatic cancer and review routine and alternative imaging options.