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Updated: May 28, 2026

DIPLOMA Approach for Standardized Pathology Assessment of Distal Pancreatectomy Specimens
Published on: February 1, 2020
[R classification and pancreatic ductal adenocarcinoma--R 0 is R 0]
J Munding1, W Uhl, A Tannapfel
1Institut für Pathologie, Ruhr-Universität Bochum. johanna.munding@rub.de
Abstract:
The ductal adenocarcinoma of the pancreas is characterised by a very poor prognosis due to an early inoperability of the tumours. Even if operated under curative aspects, local recurrence of the disease is quite frequent with corresponding poorer prognosis. For a better assessment, standardised protocols for the pathohistological processing of resection specimens of the pancreas are needed urgently as well as a strict adherence to the R classification. In order to establish a reliable marker for the risk of recurrence, the smallest distance to the circumferential resection margin should be indicated in comparison to the circumferential resection margin (CRM) concept in colorectal carcinoma.

