| 0 |
In situ, intraepithelial, noninvasive
- High-grade pancreatic intraepithelial neoplasia (PanIn-3)
- Intraductal papillary mucinous neoplasm with high grade dysplasia
- Intraductal tubulopapillary neoplasm with high grade neoplasm
- Mucinous cystic neoplasm with high-grade dysplasia |
| 1 |
Localized only (localized, NOS)
- Confined to pancreas |
| 2 |
Regional by direct extension only
- All sites
+ Ampulla of Vater
+ Blood vessel(s) (major)
* Aortic artery
* Celiac artery
* Common hepatic artery
* Further contiguous extension to other major arteries
* Portal vein
* Superior mesenteric artery/vein
+ Duodenum
+ Extrahepatic bile duct(s)
+ Fixation to adjacent structure(s), NOS
+ Peripancreatic tissue, NOS
+ Stomach
- Pancreas Head (C250)
+ Adjacent stomach
+ Blood vessel(s) (major)
* Gastroduodenal artery
+ Transverse colon, including hepatic flexure
- Pancreas Body Tail (C251, C252)
+ Spleen
+ Splenic artery/vein
+ Splenic flexure |
| 3 |
Regional lymph node(s) involved only
- All sites
+ Anterior, NOS
+ Common hepatic artery
+ Hepatic, NOS
+ Inferior to head and body of pancreas
+ Lateral aortic (lumbar)
+ Pancreaticoduodenal (anterior, posterior)
+ Peripancreatic, NOS
+ Posterior, NOS
+ Proximal mesentery (anterior, posterior)
+ Retroperitoneal
+ Superior mesenteric
+ Superior to head and body of pancreas
+ Regional lymph node(s), NOS
* Lymph node(s), NOS
- Pancreas Head (C250)
+ Common bile duct (pericholedochal)
+ Lateral wall (right)
+ Portal vein
+ Pyloric (infrapyloric, retropyloric, subpyloric, suprapyloric)
+ Pyloric, NOS
- Pancreas Body Tail (C251, C252)
+ Gastroepiploic (gastro-omental, left)
+ Pancreaticosplenic (pancreaticolineal)
+ Splenic (artery, hilum, lineal)
+ Suprapancreatic
- Pancreas Other (C253-C254, C257-C259)
+ Celiac
+ Common bile duct (pericholedochal)
+ Gastroepiploic (gastro-omental)
+ Lateral wall right
+ Pancreaticosplenic (pancreaticolienal)
+ Portal vein
+ Pyloric (infrapyloric, retropyloric, subpyloric, suprapyloric, NOS)
+ Splenic (artery, hilum, lineal)
+ Suprapancreatic |
| 4 |
Regional by BOTH direct extension AND regional lymph node(s) involved
- Codes (2) + (3) |
| 7 |
Distant site(s)/lymph node(s) involved
- Distant site(s) (including further contiguous extension to other organs)
+ All sites
* Adrenal gland/suprarenal gland
* Gallbladder
* Kidney
* Liver, including porta hepatis
* Mesenteric fat
* Mesentery
* Mesocolon
* Peritoneum
* Retroperitoneum
* Small intestine (excluding duodenum)
* Ureter
+ Pancreas Head (C250)
* Colon (other than transverse colon including hepatic flexure)
* Omentum
* Spleen
+ Pancreas Body Tail (C251, C252)
* Colon (other than splenic flexure)
* Diaphragm
- Distant lymph node(s), NOS
+ Pancreas Head (C250)
* Celiac
* Gastroepiploic (gastro-omental), left
* Pancreaticosplenic (pancreaticolienal)
* Splenic (artery, hilum, lineal)
* Suprapancreatic
+ Pancreas Body Tail (C251, C252)
* Celiac
* Common bile duct (pericholedochal)
* Lateral wall (right)
* Porta hepatic
* Portal vein
* Pyloric (infrapyloric, retropyloric, subpyloric, suprapyloric, NOS)
- Distant metastasis, NOS
+ Carcinomatosis
+ Distant metastasis except distant lymph node(s)
+ Seeding of peritoneum, even if limited to the lesser sac region
+ Positive peritoneal cytology |
| 9 |
Unknown if extension or metastasis |
