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Procedure

Pancreaticoduodenectomy (Whipple resection), partial pancreatectomy Total pancreatectomy Partial pancreatectomy, pancreatic body Partial pancreatectomy, pancreatic tail Distal pancreatectomy (body, tail) and splenectomy Distal pancreatectomy (tail) and splenectomy Other Not specified

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Tumor Site (select all that apply) A word about pancreactic anatomy

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A word about pancreactic anatomy

Pancreatic head Uncinate process Pancreatic body Pancreatic tail Other Cannot be determined Not specified

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Tumor size (cm)

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Histologic type

Ductal adenocarcinoma Colloid carcinoma (mucinous noncystic carcinoma) Signet-ring cell carcinoma Intraductal papillary-mucinous neoplasm with an associated invasive carcinoma Intraductal papillary neoplasm with an associated invasive carcinoma Intraductal oncocytic papillary neoplasm with an associated invasive carcinoma Mucinous cystic neoplasm with an associated invasive carcinoma Medullary carcinoma Hepatoid carcinoma Adenosquamous carcinoma Large cell carcinoma with rhabdoid phenotype Undifferentiated (anaplastic) carcinoma Undifferentiated carcinoma with osteoclast-like giant cells Acinar cell carcinoma Acinar cell cystadenocarcinoma Serous cystadenocarcinoma Mixed acinar-ductal carcinoma Mixed ductal-neuroendocrine carcinoma Mixed acinar-neuroendocrine carcinoma Mixed acinar-neuroendocrine-ductal carcinoma Solid-pseudopapillary neoplasm Solid-pseudopapillary neoplasm with high-grade carcinoma Large cell neuroendocrine carcinoma Small cell neuroendocrine carcinoma Mixed neuroendocrine-non-neuroendocrine neoplasm Pancreatoblastoma Other histologic type

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Tumor Extension (select all that apply)

No evidence of primary tumor No invasion (carcinoma in situ/high-grade dysplasia, includes pancreatic high-grade intraepithelial neoplasia) Tumor is confined to pancreas Tumor invades ampulla of Vater or sphincter of Oddi Tumor invades duodenal wall Tumor invades peripancreatic soft tissues Tumor invades retroperitoneal soft tissues Tumor invades mesenteric adipose tissue Tumor invades mesocolon Tumor invades other peripancreatic soft tissue Tumor invades extrapancreatic common bile duct Tumor invades other adjacent organs or structures Tumor involves posterior surface of pancreas Tumor involves anterior surface of pancreas Tumor involves vascular bed/groove (corresponding to superior mesenteric vein/portal vein) Cannot be assessed

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Margins

All margins are uninvolved by invasive carcinoma and high-grade intraepithelial neoplasia At least one margin involved by invasive carcinoma

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Treatment effect (for carcinomas with neoadjuvant therapy)

No prior treatment Present; No viable cancer cells (complete response, score 0) Present; Single cells or rare small groups of cancer cells (near complete response, score 1) Present; Residual cancer with evident tumor regression, but more than single cells or rare small groups of cancer cells (partial response, score 2) Extensive residual cancer with no evident tumor regression (poor or no response, score 3) Not known

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Lymph-vascular invasion

Not identified Present Indeterminate

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Perineural invasion

Not identified Present Indeterminate

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Regional Lymph Nodes

Check here if any lymph nodes submitted?

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Pathologic Staging (pTNM)

TNM Descriptors (select all that apply)

Not applicable m r y

pT

pTX: Primary tumor cannot be assessed pT0: No evidence of primary tumor pTis: Carcinoma in situ pT1a: Tumor ≤0.5 cm in greatest dimension pT1b: Tumor >0.5 cm and <1 cm in greatest dimension pT1c: Tumor 1–2 cm in greatest dimension pT2: Tumor >2 cm and ≤4 cm in greatest dimension pT3: Tumor >4 cm in greatest dimension pT4: Tumor involves the celiac axis, superior mesenteric artery, and/or common hepatic artery

pN

pNX: Regional lymph nodes cannot be assessed pN0: No regional lymph node metastasis pN1: Metastasis in one to three regional lymph nodes pN2: Metastasis in four or more regional lymph nodes

pM

pMx: Not applicable pM1: Distant metastasis

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+Additional pathologic findings (select all that apply)

None identified Pancreatic intraepithelial neoplasia Chronic pancreatitis Acute pancreatitis Other