■ Mandatory in all patients
■ With high suspicion or biopsy-proven malignancy, especially with tissue invasion, strong consideration should be given for radical resection
■ Findings suggesting malignancy include: bile and/or pancreatic ductal dilation, hard or ulcerated tumor, or high-grade dysplasia
■ Cautionary notes:
- Endoscopic biopsy misses diagnosis of malignancy in 40 %
- Most accurate diagnostic method for invasion is complete excision with pathologic analysis
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For centuries, ever since the legendary Ponce de Leon went searching for the elusive Fountain of Youth, people have been looking for ways to slow down the aging process. Medical science has made great strides in keeping people alive longer by preventing and curing disease, and helping people to live healthier lives. Average life expectancy keeps increasing, and most of us can look forward to the chance to live much longer lives than our ancestors.