Table 1.
High risk lymph node regions of the head pancreatic cancer
| Pancreatic head tumor | |||
|---|---|---|---|
|
Lymph node group |
JPS Classification [[32]] |
% |
Recommended margins * |
| Infrapyloric lymph nodes |
Group 6 |
7.2 |
10 mm margin around the inferior border of the pylorus |
| Common hepatic artery lymph nodes |
Group 8 |
9.8 |
10 mm margin around the common hepatic artery, from the origin of the artery (correspond to the superior border of the pancreas), on the anterior surface of the portal vein upper to the hilum of the liver |
| Celiac trunk lymph nodes |
Group 9 |
3.7 |
10 mm margin around the celiac trunk |
| Hepatoduodenal ligament lymph nodes |
Group 12 |
7.9 |
10 mm margin around the portal vein segment that runs anteromedial to the inferior vena cava and between the porta hepatis of the liver and the superior part of the duodenum |
| Posterior pancreaticoduodenal lymph nodes |
Group 13 |
32.3 |
10 mm margin around the inferior - posterior pancreaticoduodenal artery |
| Superior mesenteric artery lymph nodes |
Group 14 |
15.8 |
10 mm margin around the origin of superior mesenteric artery |
| Paraaortic lymph nodes |
Group 16 |
10.9 |
10 mm margin around the abdominal aorta, between the celiac artery and the inferior mesenteric artery |
| Anterior pancreaticoduodenal lymph nodes | Group 17 | 19.8 | 10 mm margin around the superior - anterior pancreaticoduodenal artery |
* also include any visible nodes (lower axis > 1 cm and/or FDG- avid on PET) plus a margin of 10 mm.
Lymph nodes nomenclature is based on the General Rules for Cancer of the Pancreas published by the Japan Pancreas Society (JPS). The anatomical structures of interest and the abdominal blood vessels of reference were identified for each lymph node region.