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treatment of pancreatic cancer :

• it depend upon the operablity criteria .
• if it is operable it will be resected surgically .
• if it is not operable ,it is treated with chemotherapy .
• other palliative treatment regimen can be added like PTC to drain pile .

diagnosis of pancreatic cancer :

• clinical history and physical examination 
• ultrasound for epigastric area 
• CT scan pancreatic protocol 
• ultrasound giuded biopsy for tissue diagnosis .

clinical symptoms :

• old male with progressive painless jaundice ,
• wieght loss 
• epigastric pain .
• anorexia 

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