Research Article

Equipping the American Joint Committee on Cancer Staging for Resectable Pancreatic Ductal Adenocarcinoma with Tumor Grade: A Novel Staging System

Table 1

Baseline clinicopathologic characteristics.

CharacteristicsTraining set (n = 4983) (%)Internal validation set (n = 4983) (%)External validation set (n = 324) (%)

Age, yrs
 <652172 (43.6)2185 (43.8)212 (65.4)
 ≥652811 (56.4)2798 (56.2)112 (34.6)

Sex
 Male2461 (49.4)2478 (49.7)136 (42.0)
 Female2522 (50.6)2505 (50.3)188 (58.0)

Location
 Head3832 (76.8)3842 (77.1)161 (49.7)
 Body and tail704 (14.2)717 (14.4)163 (50.3)
 Other447 (9.0)424 (8.5)0 (0)

Year of diagnosis
 2004–20092049 (41.1)2010 (40.3)
 2010–20152934 (58.9)2973 (59.7)

Grade
 Low grade3063 (61.5)3115 (62.5)165 (50.9)
 High grade1920 (38.5)1868 (37.5)159 (49.1)

Examined lymph nodes
 <152187 (46.1)2221 (46.6)183 (56.5)
 ≥152558 (53.9)2547 (53.4)141 (43.5)

7th AJCC stage
 IA188 (3.8)192 (3.9)7 (2.2)
 IB270 (5.4)292 (5.9)36 (11.1)
 IIA1105 (22.2)1081 (21.7)130 (40.1)
 IIB3418 (68.6)3417 (68.5)151 (46.6)

8th T stage
T1833 (16.7)801 (16.1)44 (13.5)
T22928 (58.8)3023 (60.7)179 (54.9)
T31222 (24.5)1159 (23.3)103 (31.6)

8th N stage
N01610 (32.3)1591 (31.9)180 (55.2)
N12084 (41.8)2114 (42.4)112 (34.4)
N21289 (25.9)1278 (25.6)34 (10.4)

Extrapancreatic invasion 8th AJCC stage4106 (82.4)4100 (82.3)250 (76.7)
 IA393 (7.9)379 (7.6)24 (7.4)
 IB886 (17.8)885 (17.8)97 (29.9)
 IIA331 (6.6)327 (6.6)58 (17.9)
 IIB2084 (41.8)2114 (42.4)111 (34.3)
 III1289 (25.9)1278 (25.6)34 (10.5)

Median OS (95% CI)19 (18.4–19.6)19.0 (18.4–19.6)23.6 (19.4–27.8)

Values in parentheses are percentages.