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Sometimes (but not often), a CT is normal or more often... suspicious appearing.... so they want to do additional testing. Then sometimes an Endoscopic ultrasound or EUS (is starting to replace the ERCP) is sometimes done. This is a more invasive test, that is not as complete as the CT scan, but can see some subtle lesions close up that might be overlooked on CT. This is also done sometimes if there is a lesion that they are trying to take a biopsy from.
But for a first step, CT with contrast and blood tests to check liver,
pancreas function and possibly tumor markers blood tests (CA19-9 and CEA) are
the way to go. If these are all normal, your examination by the doctor is
normal, and you are being seen by a pancreas expert, your chances of having
PC are incredibly low.
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