Table 1.
Type of Definition | Anatomical | Biological | Conditional |
---|---|---|---|
No: R-Type A | No: R-Type A | ||
R-PDAC | R-Type A | ||
Yes: BR-Type B | Yes: BR-Type C | ||
No: BR-Type A | No: BR-Type A | ||
BR-PDAC | BR-Type A | ||
Yes: BR-Type AB | Yes: BR-Type AC |
Anatomical definition: R-Type A: SMV/PV: no tumor contacts or unilateral. SMA, CA, CHA: no tumor contact; BR-Type A: SMV/PV: tumor contact ≥ 180° or bilateral narrowing/occlusion, not exceeding inferior border of duodenum. SMA, CA: tumor contact < 180° without deformity/stenosis. CHA: tumor contact, without contact with PHA and/or CA. Biological definition: CA 19-9 more than 500 IU/mL, regional lymph metastasis (biopsy or PET-CT). Conditional definitions: depressed performance status (PS = 2 or more).