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The classification of tumors is important for understanding tumor
histogenesis, for predicting prognosis, for differential diagnosis,
and for recommending appropriate therapy. Since 1836, when
pancreatic cancer was first described, progress has been made in
pancreatic cancer morphology, and a number of classifications have
been proposed. All of these classifications are mainly based on
morphological characteristics. Some are too detailed to be of
practical use while others are more pragmatic. Some of the inherent
problems in the previous classifications included difficulties in
obtaining an adequate number of pan creatic tumors for examination
and insufficient clinical data and follow-up. With the increasing
incidence of pancreatic cancer in many parts of the world during
the past six decades, and with the availability of more tumors to
patho logists, advances have been made in pancreatic tumor studies.
Classifications by Cubilla and Fitzgerald and by Kloppel, which are
generally similar, mostly considered prominent morphological
features and their histogenesis. These pathology-oriented
classifications, although complete, were not practical from the
standpoint of clinicians concerned with the prognosis of individual
tumors."
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