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Pancreas

Miscellaneous

Staging

Reviewer: Deepali Jain, M.D. (see Reviewers page)
Revised: 26 November 2012, last major update August 2012
Copyright: (c) 2001-2012, PathologyOutlines.com, Inc.

General
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● Based on AJCC Cancer Staging Manual (7th ed); same classification for clinical and pathological staging, as most patients don’t have resections
● See also WHO, Cancer Imaging 2010;10:S137

Primary Tumor (T)
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● TX: Primary tumor cannot be assessed
● T0: No evidence of primary tumor
● Tis: Carcinoma in situ (includes PanIn III)
● T1: Tumor limited to the pancreas, 2 cm or less in greatest dimension
● T2: Tumor limited to pancreas, more than 2 cm in greatest dimension
● T3: Tumor extends beyond the pancreas but without involvement of the celiac axis or the superior mesenteric artery
● T4: Tumor involves the celiac axis or the superior mesenteric artery (unresectable primary tumor)

Regional Lymph Nodes (N)
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● NX: Regional lymph nodes cannot be assessed
● N0: No regional lymph node metastasis
● N1: Regional lymph node metastasis

Distant metastasis (M)
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● M0: No distant metastasis
● M1: Distant metastasis

Anatomic stage / prognostic groups
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● Stage 0: Tis N0 M0
● Stage IA: T1 N0 M0
● Stage IB: T2 N0 M0
● Stage IIA: T3 N0 M0
● Stage IIB: T1-3 N1 M0
● Stage III: T4 Any N M0
● Stage IV: Any T Any N M1

End of Pancreas > Miscellaneous > Staging

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