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Guidelines for adequate histopathological reporting of pancreatic ductal adenocarcinoma resection specimens

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Acta gastroenterol. belg., 2004, 67, 46-49.

January-March Volume 67, fasc. 1

Guidelines for adequate histopathological reporting of pancreatic ductal adenocarcinoma resection specimens

P. Demetter, C.A. Cuvelier and the Working Party for GI cancer. - Department of Pathology, Ghent University Hospital, Ghent University, Belgium.

More than 90% of all malignant tumours of the pancreas are exocrine carcinomas and, of these, 95% are ductal adenocarcinomas. Since a cure is possible only in case of complete resection of the primary tumour, including its local and regional extensions, the arrival of a resected pancreas in the surgical pathology laboratory is a quite common but for many pathologists stressful event, due to the complexity of the anatomy and the importance of a good dissection in establishing the correct diagnosis and staging. However, a simple, logical approach to the dissection and histopathological reporting can avoid many problems.