TNM |
T - primary tumor |
For any T, add (m) for multiple tumors |
TX | Primary tumor cannot be assessed |
T0 | No evidence of primary tumor |
T1 | Tumor limited to pancreas and size <2 cm |
T2 | Tumor limited to the pancreas and size 2-4 cm |
T3 | Tumor limited to the pancreas and size >4 cm or invading duodenum or bile duct |
T4 | Tumor invading adjacent organs (stomach, spleen, colon, adrenal gland) or the wall of large vessels (celiac axis or superior mesenteric artery) |
N - regional lymph nodes |
NX | Regional lymph node cannot be assessed |
N0 | No regional lymph node metastasis |
N1 | Regional lymph node metastasis |
M - distant metastases |
MX | Distant metastasis cannot be assessed |
M0 | No distant metastases |
M1 | Distant metastasis |
Stage |
Disease stages |
Stage I | T1 | N0 | M0 |
Stage IIa | T2 | N0 | M0 |
Stage IIb | T3 | N0 | M0 |
Stage IIIa | T4 | N0 | M0 |
Stage IIIb | Any T | N1 | M0 |
Stage IV | Any T | Any N | M1 |