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APPENDIX 1:
DEFINITION OF GROUPS OF PANCREATIC LYMPH NODES
LOCATION OF LYMPH GROUPS
Source: according to Miyazaki (2015) [1]
Lymph node group Definition
1 Right paracardial lymph node group
2 Left paracardiac lymph node group
3 Groups of lymph nodes along the lesser curvature of the stomach
4 Groups of lymph nodes along the greater curvature of the stomach
5 Suprapyloric lymph nodes
APPENDIX 2
AMERICAN SOCIETY OF ANESTHESIOLOGISTS - ASA HEALTH CLASSIFICATION
(American Society of Anesthesiologists)
ASA 1
Good health | |
ASA 2 | Have a disease that does not affect health and daily life day. |
ASA 3 | Have a disease that affects daily activities (diabetes with complications) vascular disease, obstructive pulmonary disease, angina pectoris…). |
ASA 4 | Has a serious illness that threatens the patient's life (cancer, heart failure, renal failure) kidney, abdominal aortic aneurysm, severe bronchial asthma…). |
ASA 5 | The patient's condition is very serious, dying and unable to live. 24 hours with or without surgery. |
ASA 6 | Brain dead patient |
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APPENDIX 3
TNM CLASSIFICATION ACCORDING TO AJCC – 2010 (Source: AJCC – 2010 [1])
DUODENAL AND VATER'S AMPLE CANCER
T: Tumor size
Primary tumor not evaluable | |
T0 | No evidence of primary tumor |
Tis | Carcinoma in situ |
T1 | Tumor invades mucosa and submucosa with tumor size ≤ 1 cm (duodenal cancer); Tumor localized in the sphincter of Oddi (Vater tumor) |
T2 | Tumor invades the muscle layer or tumor size ≥ 1 cm (duodenal cancer); Duodenal muscle invasion or tumor size ≥ 1 cm (Vater tumor) |
T3 | Tumor invades the pancreas and the fat layer around the pancreas |
T4 | Tumor invades soft tissue around the pancreas or adjacent organs outside the pancreas |
N: Regional lymph node metastasis
No lymph nodes assessed | |
N0 | No regional lymph node metastasis |
N1 | Regional lymph node metastasis |
Regional lymph nodes include groups: 13 (a, b), 17 (a, b), 14 (p, d), 12b, 8 (a, p) and * 5, * 6 ( * optional) | |
M: Distant metastasis
Distant lymph node metastasis cannot be assessed. | |
M0 | No distant metastasis |
M1 | Distant metastasis |
Distant metastasis: lung, bone, pleura, liver, peritoneum, brain, thyroid metastasis adrenal, non-regional lymph nodes (groups 9, 10, group 16), skin… | |