Skip to main content

Table 1 T N M classification of carcinoma of the ampulla of Vater

From: Is endosonography an effective method for detection and local staging of the ampullary carcinoma? A prospective study

T (Primary tumour)

Tx

Primary tumour cannot be assessed

T1

Tumour limited to the ampulla of Vater or aphincter of Oddi

T2

Tumour invades duodenal wall

T3

Tumor invades 2 cm or less into pancreas

T4

Tumor invades more than 2 cm into pancreas and/or into other adjacent organs

N (Regional lymph nodes)

Nx

Regional lymph nodes cannot be assessed

NO

No regional lymph nodes metastasis

N1

Regional lymph nodes metastasis

M (Distant metastasis)

Mx

Distant metastasis not assessable

M0

No distant metastasis

M1

Distant metastasis: Hepatic metastasis, peritoneal dissemination, lymph nodes metastasis along the splenic vein or at the splenic hilum