Tomotherapy in Locally Advanced Gallbladder and Pancreatic Cancers

Inclusion Criteria

• •1. Inoperable locally advanced gall bladder and pancreatic cancer by virtue of vascular encasement of superior mesenteric artery (SMA), celiac artery, hepatic artery, portal vein (PV) or deep hilar invasion precluding R0 resection.
• •2. Biopsy proven adenocarcinoma
• •3. KPS \>= 70
• •4. Age \>18 years
• •5. Medically fit for chemotherapy
• •6. Normal hematological, renal and hepatic function (Serum Bilirubin\<3mg/dl)
• •7. No prior history of treatment with radiation or chemotherapy.
• •8. Patient willing and reliable for follow-up.