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Suggested algorithm for the diagnosis and treatment of pancreatic cancer. CA=carbohydrate antigen; ERCP=endoscopic retrograde cholangiopancreatography; FBC=full blood count; LFTs=liver function tests; PTC=percutaneous transhepatic cholangiography. *The recommendation for adjuvant chemotherapy for patients with pancreatic cancer is based on a recent multicentre trial report that showed a survival advantage conferred by chemotherapy in patients with resected pancreatic cancerw13
