By A. Dubois (auth.), Professor Dr. Hughes Baumel, Dr. Bernard Deixonne (eds.)
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Additional info for Exocrine Pancreatic Cancer
Gastroenterol Clin Bioi 5: 151 A 7. Bret PM (1984) La ponction percutanee du pancreas a I'aiguille fine. In: Actualites chirurgicales. 85° Congres Fran~ais de Chirurgie. II. Chirurgie abdominale et digestive (2eme partie). Masson, Paris, pp 86-93 8. Campagno J, Oertel J (1978) Mucinous cystic neoplasms of the pancreas with overt and latent malignancy. Am J Clin PathoI 69: 573-580 9. Camprodon R, Quintanilla E (1984) Successful long term results with resection of pancreatic carcinoma in children: prognosis for an uncommon neoplasm.
Cantrell BB, Cubilla AL, Erlandson RA, Fortner J, Fitzgerald PJ (1981) Acinar cell cystodenocarcinoma of human pancreas. Cancer 47: 410-416 12. Christoffersen P, Poll P(1970) Peroperative pancreas aspiration biopsies. Acta Pathol Microbiol Scand [Suppi] (1973) 212: 28 13. Corrin B, Gilby E, Jones N, Patrick J (1973) Oat cell carcinoma of the pancreas with ectopic ACTH secretion. Cancer 31: 1523-1527 14. Cubilla AL, Fitzgerald PJ (1975) Morphological patterns of non-endocrine human carcinoma. Cancer Res 35: 2246 15.
Deixonne et al. but we would like to say that nowadays, in a center for digestive surgery managed by experienced surgeons, we should be able to classify developmental stages of exocrine pancreatic cancers in a more complete and exact manner that is, however, neither tedious nor difficult. Taking into account recent findings, we envisage this classification as divided into the following four stages: Stage I: the tumor is localized to the gland Stage II: invasion of the juxtapancreatic nodes or the first relay nodes Stage III: extension into the second relay nodes and/or to the adjacent tissues a) duodenum, stomach, colon b) superior mesenteric artery, portal vein, and the afferents Stage IV: involvement of the third relay nodes and/or distant metastases More specifically, in stage I the tumor is strictly limited to the gland.