Pincreatic Adno Carcinoma - Should You Sample the Node?

The top four you want to think about are cras, p 53, c d, k, n two, a and smadfor. You should sample the node but not perform the complete regional lymphatanecome. The reason is that notal metastus is a marker of systemic disease. And really, outside of a clinical trial, a regional lymphatanectome should not be performed during the wipple.