AIIMS MCQ for Medical PG Preparations .. NIME | Contraindications for pancreaticoduodenectomy for carcinoma head of pancreas .....

Contraindications for pancreaticoduodenectomy for carcinoma head of pancreas would include all of the following EXCEPT:
A. Infiltration of portal vein
B. Metastases to coelicgrop of lymph nodes
C. Infiltration of the second part of the duodenum
D. Tumour measuring 6 cm in size

Ans. C.

Patients with duct cell cancers should be considered for resection, which are:

·<than 4 crn in diameter.

·No involving the superior mesenteric or portal veins.

·With no evidence of multiple enlarged nodes or distant spread.

CA Pancreas(^FAQ)

•                  Role of chemotherapy in CA pancreas though ill defined but if tumour is lymphoma then benefit is without doubt.

•                  For duct cell adenocarcinoma, 5-fluorouracil will produce remission in 15-25 percent of patients.

•                  It affects men and women to same degree.

•                  Only predispbsing factors are tobacco smoking and chronic pancreatitis.

•                  More than 85% cases are duct cell adenocarcinoma.

•                  Most frequent symptoms are nonspecific namely epigastric discomfort, anorexia and weight loss.

•      Jaundice is the commonest sign and symptom, which brings the patient to the attention of his/her physician.

The preferred test is now a contrast-enhanced spiral CT scan specific for pancreas.