Pancreatic Carcinoma Worksheet 4.0.0.1

Margins

Check if all margins are clear of invasive carcinoma and dysplasia.

	Select negative margins examined histologically:
	Proximal pancreatic margin Distal pancreatic margin Pancreatic neck parenchymal margin Uncinate (retroperitoneal / SMA margin) Bile duct margin Pancreatic duct margin Proximal gastric margin Proximal duodenal margin Distal duodenal margin Distal jejunal margin
	Invasive tumor is present cm from the (closest) margin. (optional)

Check if positive margins are seen GROSSLY.

Staging

Lymph Node Status No lymph nodes sampled
Lymph nodes sampled:

Regional lymph nodes	Sampled	Positive
The regional lymph nodes for pancreatic cancers include lymph nodes along common bile duct, common hepatic artery, portal vein, pyloric, anterior and posterior pancreaticoduodenal arcades, superior mesenteric vein and right lateral wall of superior mesenteric artery (Figures 5 and 6). The regional lymph nodes for the pancreatic body and tail cancers include lymph nodes along common hepatic artery, celiac axis, splenic artery, and splenic hilum. Tumor involvement of other nodal groups is considered distant metastasis. Anatomic division of lymph nodes is not necessary, but separately submitted lymph nodes should be individually reported.
	LN count includes: Part A Part B Part C Part D Part E

Metastasis Status No tissue submitted for metastatic examination
Tissue submitted and NEGATIVE for metastatic disease
Tissue submitted and POSITIVE for metastatic disease

Metastasis to non-regional lymph node(s)

Site:

Metastatic to other site(s)

Site:

Final Report

Other Findings PanIN 1 PanIN 2 PanIN 3 Chronic pancreatitis Acute pancreatitis Other:	Modifiers Multiple Primary Tumors (m) Recurrent Tumor (r) Post-treatment Staging (y)
Comments Original H&Es and deeper sections are examined. Case reviewed in departmental review. Pankeratin immunostain used in evaluation. Chromogranin immunostain used in evaluation. Synaptophysin immunostain used in evaluation. Appropriate control staining is present.
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