Skip to main content
Fig. 19 | Insights into Imaging

Fig. 19

From: Imaging side effects and complications of chemotherapy and radiation therapy: a pictorial review from head to toe

Fig. 19

Effects of neoadjuvant ChT/RT in a 63-year-old male with pancreatic body ductal adenocarcinoma. Baseline CT scan (a) shows a hypodense lesion consistent with pancreatic ductal adenocarcinoma in the pancreatic body infiltrating the splenic artery (arrow); concurrent infiltration of the celiac trunk and the splenic vein was present. In the CT scan (b) performed after neoadjuvant ChT/RT (FOLFIRINOX + stereotactic body RT), the tumor mass was slightly reduced in size, but persistent soft-tissue attenuation was present around the splenic artery (“perivascular cuff”—arrow). The patient underwent surgical exploration with successful distal pancreatectomy and celiac artery resection (Appleby procedure); pathological examination of the resection specimen showed absence of residual disease, negative resection margins, and fibrosis around the splenic artery

Back to article page