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. 2010 Sep 7;3:111–127. doi: 10.2147/ott.s7203

Figure 2.

Figure 2

Downstaging with neoadjuvant therapy: 59-year-old man with a 2.2 × 1.8 cm pancreatic head mass found to be pancreatic adenocarcinoma on biopsy A) Pretreatment scan. Note severe SMV impingement, which fits criteria for borderline resectable disease B) Post-treatment scan. The patient was reated with neoadjuvant capecitabine 1500 mg po bid and concurrent radiation. The SMV is less confined; the pancreas mass remains similar in size. C) Post-operative scan. The patient underwent pancreaticoduodenectomy with jugular SMV reconstruction.