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Fig. 4. —61-year-old man who had pancreatic adenocarcinoma with venous invasion. Axial helical CT image obtained at level of uncinate process shows large hypodense mass (arrow) with circumferential involvement of superior mesenteric vein. Note that tumor-to-vein contiguity (arrowheads) is greater than 50%, indicating venous invasion. Tumor was successfully resected after en bloc venous resection and terminoterminal anastomosis.





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