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Pain relief by celiac axis nerve or intrapleural block (percutaneous).
Alternatively, angiography may be used to inject the celiac axis to determine the blood vessel that is bleeding.
Tumor extends beyond the pancreas but without involvement of the celiac axis or the superior mesenteric artery.
Celiac axis (and intrapleural) nerve blocks can provide highly effective and long-lasting control of pain for some patients.
Tumor involves the celiac axis or the superior mesenteric artery (unresectable primary tumor).