Specimen:
   Head of pancreas
   Body of pancreas
   Tail of pancreas
   Duodenum
   Stomach
   Common bile duct
   Gallbladder
   Spleen
   Adjacent large vessels:
       Portal vein
       Superior mesenteric vein
       Other large vessel (specify):
   Other (specify):
   Not specified
   Cannot be determined

Procedure:
Pancreaticoduodenectomy (Whipple resection), partial pancreatectomy
Pancreaticoduodenectomy (Whipple resection), total pancreatectomy
Partial pancreatectomy, pancreatic body
Partial pancreatectomy, pancreatic tail
Other (specify):
Not specified

Tumor Site:
   Pancreatic head
   Uncinate process
   Pancreatic body
   Pancreatic tail
   Other (specify):
   Cannot be determined
   Not specified

Tumor Size:
Greatest dimension (cm):
Additional dimensions (cm):
Cannot be determined (see Comment)

Histologic Type:
   Ductal adenocarcinoma
   Mucinous noncystic carcinoma
   Signet-ring cell carcinoma
   Adenosquamous carcinoma
   Undifferentiated (anaplastic) carcinoma
   Undifferentiated carcinoma with osteoclast-like giant cells
   Mixed ductal-endocrine carcinoma
   Serous cystadenocarcinoma
   Mucinous cystic neoplasm
   Noninvasive
   Invasive
   Intraductal papillary-mucinous carcinoma
   Noninvasive
   Invasive
   Acinar cell carcinoma
   Acinar cell cystadenocarcinoma
   Mixed acinar-endocrine carcinoma
   Other (specify):

Histologic Grade (ductal carcinoma only):
    Not applicable
    GX: Cannot be assessed
    G1: Well differentiated
    G2: Moderately differentiated
    G3: Poorly differentiated
    G4: Undifferentiated
    Other (specify):

Microscopic Tumor Extension:
   Cannot be assessed
   No evidence of primary tumor
   Carcinoma in situ
   Tumor is confined to pancreas
   Tumor invades ampulla of Vater or sphincter of Oddi
   Tumor invades duodenal wall
   Tumor invades peripancreatic soft tissues:
       Tumor invades retroperitoneal soft tissue
       Tumor invades mesenteric adipose tissue
       Tumor invades mesocolon
       Tumor invades other peripancreatic soft tissue:
       Tumor invades extrapancreatic common bile duct
   Tumor invades other adjacent organs or structures:

Margins:
   Cannot be assessed
   Margins uninvolved by invasive carcinoma, distance of invasive carcinoma from closest margin: mm at
   Margins uninvolved by carcinoma in situ
   Margin(s) involved by carcinoma in situ:
       Carcinoma in situ present at common bile duct margin
       Carcinoma in situ present at pancreatic parenchymal margin
   Margin(s) involved by invasive carcinoma:
       Uncinate process (retroperitoneal) margin (nonperitonealized surface of the uncinate process)
       Distal pancreatic margin
       Common bile duct margin
       Proximal pancreatic margin
       Other (specify):
   Invasive carcinoma involves posterior retroperitoneal surface of pancreas

Treatment Effect:
    No prior treatment
    Present:
        No residual tumor (complete response, grade 0)
        Marked response (grade 1, minimal residual cancer)
        Moderate response (grade 2)
    No definite response identified (grade 3, poor or no response)
    Not known

Lymph-Vascular Invasion:
Not identified
Present
Indeterminate

Perineural Invasion:
Not identified
Present
Indeterminate

Pathologic Staging (pTNM)

m (multiple primary tumors)
r (recurrent)
y (post-treatment)

Primary Tumor (pT):
pTX: Cannot be assessed
pT0: No evidence of primary tumor
pTis: Carcinoma in situ
pT1: Tumor limited to the pancreas, 2 cm or less in greatest dimension
pT2: Tumor limited to the pancreas, more than 2 cm in greatest dimension
pT3: Tumor extends beyond the pancreas but without involvement of the celiac axis or the superior mesenteric artery
pT4: Tumor involves the celiac axis or the superior mesenteric artery

Regional Lymph Nodes (pN):
pNX: Cannot be assessed
pN0: No regional lymph node metastasis ( 0 / )
pN1: Regional lymph node metastasis ( / )
No nodes submitted or found

Distant Metastasis (pM):
    Not applicable
    pM1: Distant metastasis at

Additional Pathologic Findings:
       None identified
       Pancreatic intraepithelial neoplasia (highest grade: PanIN )
       Chronic pancreatitis
       Acute pancreatitis
       Other (specify):

Ancillary Studies:

Clinical History:
       Neoadjuvant therapy
       Familial pancreatitis
       Familial pancreatic cancer syndrome
       Other (specify):
       Not specified

Comment(s):