| 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). |