Table 1. N staging of the 7 th and 8 th edition of the AJCC staging system.
N1 | N2 | M1 | |
AJCC 7 th edition | ≥ 1 MLN in the regional LNs (H, CD, CBD, HA or PV LNs) | ≥ 1 MLN in the regional LNs (PA, PC, SMA or CO LNs) | Distant metastasis |
AJCC 8 th edition | 1–3 MLN in the regional LNs (H, CD, CBD, HA, PPD or PV LNs) | ≥ 4 MLN in the regional LNs described for N1 | Distant metastasis (includes MLN distant to the HDL) |
For both 7th and 8th edition of the AJCC staging system, Nx is defined as “Regional LNs cannot be assessed” and N0 as “No regional MLN”.
H, hilar; CD, cystic duct; CBD, common bile duct; HA, hepatic artery; PV, portal vein; PPD, posterior pancreato-duodenal; PA, peri-aortic; PC, peri-caval; SMA, superior mesenteric artery; CO, celiac; HDL, hepato-duodenal ligament.