DATA FORM FOR CANCER STAGING - AMPULLA OF VATER
Form # 785-1-029
| CLIN | PATH | DEFINITIONS | |
| TX | Primary tumor cannot be assessed | ||
| T0 | No evidence of primary tumor | ||
| Tis | Carcinoma in situ | ||
| T1 | Tumor limited to ampulla of Vater | ||
| T2 | Tumor invades duodenal wall | ||
| T3 | Tumor invades 2 cm or less into pancreas | ||
| T4 | Tumor invades more than 2.0 cm into pancreas and/or into other adjacent organs | ||
| LYMPH NODE (N) | |||
| NX | Regional lymph nodes cannot be assessed | ||
| N0 | No regional lymph node metastasis | ||
| N1 | Regional lymph node metastasis | ||
| DISTANT METASTASIS (M) | |||
| MX | Presence of distant metastasis cannot be assessed | ||
| M0 | No distant metastasis | ||
| M1 | Distant metastasis | ||
| CLIN | PATH | STAGE GROUPING | |||
| 0 | Tis | N0 | M0 | ||
| I | T1 | N0 | M0 | ||
| II | T2 | N0 | M0 | ||
| T3 | N0 | M0 | |||
| III | T1 | N1 | M0 | ||
| T2 | N1 | M0 | |||
| T3 | N1 | M0 | |||
| IV | T4 | Any N | M0 | ||
| Any T | Any N | M1 | |||
THE FINAL STAGE GROUPING (CLINICAL & PATHOLOGICAL) IS THE RESPONSIBILITY OF THE ATTENDING PHYSICIAN.
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| Patient Name: |