Best prognosis in carcinoma of pancreas in the region of
Periampullary carcinoma AAdenocarcinoma of head of the pancreas (40-60%) Adenocarcinoma of ampulla of vater (10-20%) Distal Bile duct adenocarcinoma (10%) Duodenal adenocarcinoma (5-10%) Patients with pancreas adenocarcinoma involving the body or tail of the gland are more likely to have weight loss and abdominal pain as their initial complaints These lesions can grow to a larger size before producing symptoms and are often diagnosed at a later stage with a poorer prognosis Most body and tail cancers have already metastasized to distant sites or extended locally to involve nodes, nerves, or major vessels by the time of diagnosis. Best prognosis : Duodenal adenocarcinoma > Ampullary carcinoma > Distal Bile duct adenocarcinoma > Head of pancreas > Body and tail of pancreas Ref: Shackelford 7th edition Pgno : 1187-1206
Head
Tail
Body
Periampullary
G.I.T