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Table 6 Degree of arterial, venous, and lymphatic involvement in comparison to MDCT resectability criteria

From: Role of multidetector computed tomography in evaluation of resectability of pancreatic cancer

  NCCN
Resectable Borderline resectable Locally advanced Metastatic P value
Count % Count % Count % Count %  
Arteries a   0.010
 No contact 12 48% 3 12% 2 8% 8 32%  
 Abutment 1 17% 2 33% 0 0% 3 50%  
 Encasement 0 0% 0 0% 4 36% 7 64%  
 Occlude 0 0% 0 0% 0 0% 0 0%  
Veinsb   0.000
 No contact 5 63% 0 0.0% 0 0% 3 37%  
 Abutment 8 62% 2 15% 0 0% 3 23%  
 Encasement 0 0% 3 37% 1 13% 4 50%  
 Occlude 0 0% 0 0% 5 38% 8 62%  
Lymphatics   0.006
 No enlarged lymph nodes 3 43% 3 43% 0 0% 1 14%  
 Regional lymph nodes 10 34% 2 7% 6 21% 11 38%  
 Non-regional lymph nodes 0 0% 0 0% 0 0% 6 100%  
Surgery   0.000
 No surgery 1 5% 1 5% 3 16% 14 74%  
 P.D 11 79% 3 21% 0 0% 0 0%  
 Exploration 0 0% 1 17% 1 17% 4 66%  
 Bypass 1 33% 0 0.0% 2 67% 0 0.0%  
  1. aArteries include celiac axis, SMA, CHA, or variant artery, including accessory right hepatic artery, replaced right hepatic artery, replaced common hepatic artery, and origin of the replaced or accessory artery
  2. bVeins include SMV, PV, or IVC