Pancreas (exocrine) cancers

Carcinoma of pancreas click to access explanations in the original CAP template

Microscopic descriptions:

- Tumor histology and immunohistochemical studies:

- Histologic type (2019):
- Histologic type (2019):	- Others :
- Histologic grade:
- Histologic grade:	- Others :
- Lymphovascular invasion:
- Perineural invasion:
- Treatment effect:

- Tumor extension: Tumor is confined to the pancreas Tumor is confined to the pancreas + posterior surface of pancreas Tumor is confined to the pancreas + anterior surface of pancreas Tumor is confined to the pancreas + vascular bed/groove (corresponding to superior mesenteric vein/portal vein) Tumor invades the ampulla of Vater or sphincter of Oddi Tumor invades the duodenal wall Tumor invades peripancreatic soft tissues Tumor invades peripancreatic soft tissues + retroperitoneal soft tissue Tumor invades peripancreatic soft tissues + mesenteric adipose tissue Tumor invades peripancreatic soft tissues + mesocolon Tumor invades peripancreatic soft tissues + extrapancreatic common bile duct Tumor invades adjacent organs or structures (specify: stomach, superior mesenteric vein, portal vein, celac acis, superior mesenteric artery, common hepatic artery, etc.) Cannot be assessed No evidence of primary tumor

For pancreaticoduodenal resection specimens:

- Proximal margin (gastric or duodenal):
- Distal margin (distal duodenal or jejunal):
- Uncinate (retroperitoneal/superior mesenteric artery) margin:
- Bile duct margin:
- Pancreatic neck/parenchymal margin:
- Other margin(s), specify :

For partial pancreatectomy specimens:

- Proximal pancreatic parenchymal margin:
- Distal pancreatic parenchymal margin:
- Other margin(s), specify :

For enucleation specimens:

- Pancreatic parenchymal margin:
- Other margin(s), specify :

Regional lymph nodes:

- Number of regional lymph nodes examined:
- Number of lymph nodes involved:
- Extranodal extension:
- Size of largest metastatic deposit (mm), specify site:
- Size of largest lymph node involved (mm), specify site:

Distant Metastasis: Not applicable Not identified Non-regional lymph node(s) (specify): Liver (specify): Other (specify): Cannot be determined:

Pathologic Stage Classification (AJCC 8e):

- TNM Descriptors:	m (multiple primary tumors) r (recurrent) y (post treatment)
- Primary tumor (pT):
- Regional lymph nodes (pN):
- Distant metastasis (pM):

+ Additional pathologic findings:

Pancreatic intraepithelial neoplasia (highest grade), specify: Chronic pancreatitis Acute pancreatitis

- Other :

- Additional notes: