Ishikawa classification of venous involvement by pancreatic ductal adenocarcinoma

Last revised by David Luong on 23 Jun 2021

Ishikawa classification system describes the degree of involvement of adjacent portal vein and superior mesenteric vein by pancreatic ductal adenocarcinoma based on the caliber of the vein:

  • type I: normal 
  • type II: smooth shift/displacement with normal caliber  
  • type III: unilateral narrowing 
  • type IV: bilateral narrowing
  • type V: bilateral narrowing with collateral formation

See also

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