Japanese classification of pancreatic carcinoma by the Japan Pancreas Society: Eighth edition

Masaharu Ishida, Tsutomu Fujii*, Masashi Kishiwada, Kazuto Shibuya, Sohei Satoi, Makoto Ueno, Kohei Nakata, Shigetsugu Takano, Katsunori Uchida, Nobuyuki Ohike, Yohei Masugi, Toru Furukawa, Kenichi Hirabayashi, Noriyoshi Fukushima, Shuang Qin Yi, Hiroyuki Isayama, Takao Itoi, Takao Ohtsuka, Takuji Okusaka, Dai InoueHirohisa Kitagawa, Kyoichi Takaori, Masaji Tani, Yuichi Nagakawa, Hideyuki Yoshitomi, Michiaki Unno, Yoshifumi Takeyama

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

In 2023, the Japan Pancreas Society (JPS) published the new eighth edition of the Japanese classification of pancreatic carcinoma. We present here an excerpted version in English, based on the latest edition. The major changes in this revision are as follows: In the eighth edition of the Union for International Cancer Control (UICC), the T category was changed to be based on tumor size; however, the eighth edition of the Japanese classification retains the previous T category based on local invasion factors. Lymph nodes have been renamed, and regional lymph nodes have been defined by location. Peritoneal cytology, which was not previously included in distant metastasis (M), has now been included in the M category. Moreover, significant additions have been made regarding the pathological diagnosis of endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB) and criteria for histological assessment of the effects after chemotherapy and radiation therapy. Although this classification is aimed at carcinoma originating in the pancreas, not in the bile duct or duodenum, if the differentiation of the primary organ is difficult, this classification should be applied. It is also desirable to describe tumors other than carcinoma and metastatic tumors to the pancreas in accordance with this classification.

Original languageEnglish
Pages (from-to)755-768
Number of pages14
JournalJournal of Hepato-Biliary-Pancreatic Surgery
Volume31
Issue number11
DOIs
StatePublished - 2024/11

Keywords

  • Japanese
  • classification
  • neoplasm staging
  • pancreatic cancer
  • pancreatic neoplasms

ASJC Scopus subject areas

  • Surgery
  • Hepatology

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