Stage 2 pancreatic cancer

The stage of a cancer tells the doctor about its size and whether it has spread. It helps your doctors decide on which treatment you need.

Your doctor may not be able to tell you the exact stage of your cancer until after your surgery, if you are able to have it.

Stage 2 is part of the number staging system. There are 4 stages of pancreatic cancer numbered 1 to 4.

Doctors can also use the TNM system to stage your cancer. TNM stands for Tumour, Node, Metastases.

Stage 2 pancreatic cancer is split into 2A and 2B.

Stage 2A

Stage 2A means the cancer is bigger than 4cm but is still within the pancreas. It has not spread to the lymph nodes Open a glossary item or other areas of the body.

In TNM staging, this is the same as T3, N0, M0.

Diagram showing stage 2A cancer of the pancreas

Stage 2B

Stage 2B means the cancer is any size within the pancreas and has spread to no more than 3 nearby lymph nodes. It has not spread anywhere else in the body.

In TNM staging, this is the same as T1, 2 or 3, N1, M0.

Diagram showing stage 2B cancer of the pancreas

Treatment for stage 2 pancreatic cancer

The stage of your cancer helps your doctor to decide which treatment you need. Treatment also depends on:

  • your type of cancer (the type of cells the cancer started in)
  • where the cancer is 
  • if they can remove (resect) the cancer
  • other health conditions that you have

The stage of the cancer and these other factors can also give an idea of your outlook (prognosis).

For stage 2 pancreatic cancer, you generally have surgery and chemotherapy.

Other stages

  • AJCC Cancer Staging Manual (8th edition)
    American Joint Committee on Cancer
    Springer, 2017

  • Cancer of the Pancreas: European Society Medical Oncology Clinical Practice Guidelines
    M Ducreux and others
    Annals of Oncology, 2015. Volume 26, Supplement 5, v56 to v68

  • BMJ Best Practice Pancreatic Cancer
    H M Kocher and others
    BMJ Publishing Group, last updated November 2022

  • Pancreatic cancer in adults: diagnosis and management
    National Institute for Health and Care Excellence (NICE), February 2018

  • Principles and practice of oncology (11th edition)
    VT De Vita, S Hellman and SA Rosenberg
    Lippincott, Williams and Wilkins, 2019

  • Pancreatic cancer
    J D Mizrahi and others
    The Lancet, June 2020. Volume 395, Pages 2008 to 2020

Last reviewed: 
01 Feb 2023
Next review due: 
01 Feb 2026

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