From: Role of multidetector computed tomography in evaluation of resectability of pancreatic cancer
Resectable | Artery: no contact with the celiac axis, SMA, or CHA |
Vein: no contact or abutment with the SMV or PV | |
Borderline resectable | Artery: A. Head or uncinate process Abutment or encasement of the common hepatic artery without extension to the celiac axis or hepatic artery bifurcation or abutment to the SMA or variant artery B. Body or tail Abutment to the celiac axis or encasement of the celiac axis without involvement of the aorta, GDA, and SMA |
Vein: encasement of the SMV or PV or abutment to the IVC | |
Unresectable (locally advanced) | Artery: encasement of the SMA or celiac axis, abutment or encasement of the first jejunal SMA branch, or abutment of the celiac axis and aortic involvement |
Vein: occlusion or tumor thrombosis of SMV or PV or abutment or encasement of the first jejuna SMV branch | |
Unresectable (metastatic) | Distant metastasis including non regional lymph node metastasis. |