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No financial disclosure. . Case scenario. 65 y/o man with newly diagnosed pancreatic head adenocarcinomaLocalized by CT scanWhipple procedureSurgical margin and lymph nodes (13) were negativeAdjuvant gemcitabine-based chemoradiationRelapsed in liver 1 year later. Metastasis accounts for 90%
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1. Circulating Tumor Cells In Cancer Prognosis and Diagnosis Kian-Huat Lim
12/11/2009
2. No financial disclosure
3. Case scenario 65 y/o man with newly diagnosed pancreatic head adenocarcinoma
Localized by CT scan
Whipple procedure
Surgical margin and lymph nodes (13) were negative
Adjuvant gemcitabine-based chemoradiation
Relapsed in liver 1 year later
4. Metastasis accounts for 90% of all cancer deaths Initial presentation Late distal recurrence 5-year survival of localized cancer Pancreas: 20% Lung: 50% Esophagus: 37% Liver: 21% Stomach: 57% >90%: breast, prostate, melanoma, ovary, colon, renal Metastasis is the major cause of cancer death