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As a result, the inability to detect residual cancer cells at the end of surgery and the lack of defined blood supply to the pancreas has led to extensive regional and whole body cancer surveillance for patients with pancreatic cancer. In these patients, direct percutaneous biopsies of the pancreas are made via a fine needle aspirate or via cholangiopancreatography. Histopathologic biopsy results are reviewed by multiple pathologists who try to determine whether a suspected cancerous lesion is cancerous. If they are uncertain about the histologic diagnosis, they send the biopsy tissue to a pathology service to perform a detailed histologic diagnosis. In cases where the biopsy shows negative results, patients are put on a surveillance program, with frequent imaging studies, to detect cancer recurrence. This will allow patients to receive intensive therapy when residual disease is detected at an early stage.Myeloma is a cancer of plasma cells (a kind of white blood cell) that produces antibodies and grows in the bone marrow. Myeloma, or malignant plasma cell myeloma, is also called plasma cell myeloma, plasma
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