T/N/M staging definitions |
T1 |
Tumor limited to the pancreas, < 2 cm in greatest diameter; |
Tumors limited to pancreas, 2 cm or less in greatest dimension; |
T tumor 2 cm or less in greatest dimension; |
T2 |
Tumor limited to the pancreas, > 2 cm in greatest diameter; |
Tumors limited to pancreas more than 2 cm but less than 4 cm in greatest dimension; |
Tumor more than 2 cm but no more than 4 cm in greatest dimension; |
T3 |
Tumor extends beyond the pancreas, but not involving the celiac axis or superior mesenteric artery; |
Tumors limited to pancreas, more than 4 cm in greatest dimension or tumors invading duodenum or bile duct; |
Tumor more than 4 cm in greatest dimension; |
T4 |
Tumor involves the celiac axis or superior mesenteric artery (unresectable tumor). |
Tumors perforates visceral peritoneum (serosa) or invades other organs or adjacent structures. |
Tumor involves coeliac axis, superior mesenteric artery and/or common hepatic artery. |
N0 |
No regional lymph node metastasis; |
No regional lymph node metastasis; |
No regional lymph node metastasis; |
N1 |
Regional lymph node metastasis; |
Regional lymph node metastasis. |
Metastases in 1 to 3 regional lymph nodes; |
N2 |
NA. |
NA. |
Metastases in 4 or more regional lymph nodes. |
M0 |
No distant metastasis; |
No distant metastasis; |
No distant metastasis; |
M1 |
Distant metastasis. |
Distant metastasis. |
Distant metastasis. |
Clinical staging definitions--- (Cases) |
Stage I |
T1 N0 M0 (A) --- (52) D / (10) E;T2 N0 M0 (B) --- (19) / (13); |
T1 N0 M0--- (52) D; |
T1 N0 M0 (A) --- (10) E;T2 N0 M0(B) --- (7); |
Stage II |
T3 N0 M0 (A) --- (25) / (9);T1-3 N1 M0(B) --- (17) / (12); |
T2 N0 M0(A) --- (12);T3 N0 M0(B) --- (28); |
T3 N0 M0(A) --- (11);Any T N1 M0(B)--- (8); |
Stage III |
T4 Any N M0--- (20) / (16); |
T4 N0 M0(A) --- (15);Any T N1 M0(B) --- (26); |
Any T N2 M0--- (8);T4 Any N M0--- (16); |
Stage IV |
Any T Any N M1--- (19) / (18). |
Any T Any N M1 --- (19). |
Any T Any N M1--- (18). |