Do you always biopsy suspicious liver lesions if you have a biopsy from the pancreatic mass showing PDAC?
Or do you start with systemic therapy and then reassess?
Answer from: Medical Oncologist at Academic Institution
I don’t always biopsy especially if the tumor marker is very high. I start with treatment and reassess. I do think a good liver MRI with contrast can be helpful here as well. One important caveat: I do biopsy if there is scant tissue from the pancreas biopsy so I can send the NGS panel.