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Periampullary cancer
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== Treatment == * Resectable (stage I or II): upfront surgery followed by adjuvant CTX ** Consider neoadjuvant - gaining traction recently * Borderline resectable - Neoadjuvant CTX +/- RTX, then re-image, and assuming no progression, can be resected * Locally advanced unresectable - CTX, and if it rarely downstages, it may become resectable later, but this is rare * Unresectable (stage IV) - CTX
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