TNM Staging for Pancreatic Cancer

Provides information about the severity of pancreatic cancer based on tumor, lymph node, and metastasis characteristics.

Primary Tumor (T)

Primary tumor cannot be assessed No evidence of primary tumor Carcinoma in situ Tumor limited pancreas, ≤2 cm in greatest dimension Tumor limited pancreas, >2 cm in greatest dimension Tumor extends beyond pancreas but without involving celiac axis or SMA Tumor involves celiac axis or SMA (unresectable primary)

Regional Lymph Nodes (N)

Regional lymph nodes cannot be assessed No regional lymph node metastasis Regional lymph node metastasis

Distant Metastasis (M)

No distant metastasis Distant metastasis

Interpretation

Source: American Joint Committee on Cancer. Exocrine Pancreas. Amin MB, Edge S, Greene F, Byrd DR, Brookland RK, et al, eds. AJCC Cancer Staging Manual. Eighth Ed. New York, NY: Springer; 2017. 337-350.

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