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Clinical Stage
T3 N1 M0 Stage Group IIB
T3
Tumor extends beyond pancreas without involvement of celiac axis or superior mesenteric artery - duodenal biopsy positive for adenocarcinoma. CT scan states tumor appears to "abut" superior mesenteric vein (SMV), which is not considered a term of involvement. Reference: The Commission on Cancer of the American College of Surgeons (COC), Facility Oncology Registry Data Standards Revised for 2004, pg. 24.
Pathologic Stage
T3 N0 M0 Stage Group IIA
T3
Tumor extends beyond pancreas without involvement of celiac axis or superior mesenteric artery -- duodenum involved