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


● Based on AJCC Cancer Staging Manual (7th ed); same classification for clinical and pathological staging, as most patients donít have resections
● See also WHO, Cancer Imaging 2010;10:S137

Primary Tumor (T)

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)

NX: Regional lymph nodes cannot be assessed
N0: No regional lymph node metastasis
N1: Regional lymph node metastasis

Distant metastasis (M)

M0: No distant metastasis
M1: Distant metastasis

Anatomic stage / prognostic groups

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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