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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