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. 2020 May 27;2020:4162657. doi: 10.1155/2020/4162657

Table 1.

Different international classifications of locally advanced and borderline resectable PDAC (taken by JA Pietryga and DE Morgan (2015), Journal of Gastrointestinal Oncology, vol. 6, no. 4).

Anatomy NCCN 2014 AHPBA/SSAT/SSO MD Anderson Cancer Center ISGPS ACTO
Superior mesenteric vein/portal vein Involvement with distortion/narrowing and/or occlusion amenable to reconstruction Abutment encasement or short-segment occlusion amenable to reconstruction Short-segment occlusion amenable to reconstruction Involvement with distortion/narrowing and/or occlusion amenable to reconstruction Tumor-vessel interface ≥180° and/or occlusion amenable to reconstruction
Superior mesenteric artery Abutment (≤180°) Abutment (≤180°) Abutment (≤180°) Abutment (≤180°) Tumor-vessel interface <180°
Common hepatic artery Abutment or short-segment encasement Abutment or short-segment encasement Short-segment encasement/abutment Abutment or short-segment encasement Short-segment tumor-vessel interface (any degree) amenable to reconstruction
Celiac artery No abutment or encasement No abutment/encasement No abutment or encasement No abutment or encasement Tumor-vessel interface <180°

NCCN: National Comprehensive Cancer Network; AHPBA/SSAT/SSO: American Hepato-Pancreato-Biliary Association/Society for Surgery of the Alimentary Tract/Society of Surgical Oncology; ISGPS: International Study Group of Pancreatic Surgery; ACTO: Alliance for Clinical Trials in Oncology.