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Fig. 4. —Drawing shows lymph node groups that can be involved by local spread of tumor: 1, superior to pancreatic head; 2, superior to pancreatic body; 3, near pancreatic tail; 4, splenic hilum; 5, anterior pancreaticoduodenal; 6, inferior to pancreatic head and body; 7, near common bile duct; 8, near pancreaticoduodenal groove and pylorus. Proximal mesenteric nodes (9) are hidden posteriorly.

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