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GUIDELINE
Year : 2020  |  Volume : 9  |  Issue : 3  |  Page : 154-161

A proposal for the ideal algorithm for the diagnosis, staging, and treatment of pancreas masses suspicious for pancreatic adenocarcinoma: Results of a working group of the Canadian Society for Endoscopic Ultrasound


1 Oakville-Trafalgar Memorial Hospital, Oakville, Ontario, Canada
2 Jewish General Hospital, Montreal, Quebec, Canada
3 St. Joseph's Health Centre, Toronto, Ontario, Canada
4 Foothill Medical Centre, University of Calgary, Calgary, Alberta, Canada
5 St.Paul's Hospital, Vancouver, British Columbia, Canada
6 Centre Hospitalier de l'Université de Montréal, Montréal, Québec, Canada
7 The Moncton Hospital, Moncton, Nova Scotia, Canada

Correspondence Address:
Dr. Anand V Sahai
Centre Hospitalier de l'Université de Montréal, Montréal, Québec
Canada
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/eus.eus_28_20

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Numerous clinical pathways exist for patients presenting with a suspicious pancreatic mass. These range from direct surgical intervention following staging, with preoperative cross-sectional imaging, EUS with or without fine-needle aspiration or fine-needle core biopsy; neoadjuvant chemotherapy and/or radiation therapy; or palliation. Although international guidelines exist for pancreas cancer management, the ideal workup and treatment for a suspicious pancreas mass is unclear. During its annual meeting in September 2017 (The Forum for Canadian Endoscopic Ultrasonography), the Canadian Society of Endoscopic Ultrasound organized a working group of experienced endosonographers and hepatobiliary surgeons from across Canada to achieve this goal.


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