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[More caes of M3 esophageal cancer]

Muscularis mucosa involvement¸¦ º¸¿´´ø ½Äµµ¾Ï (M3) ³»½Ã°æ »çÁøÀ» ¸î Àå ¸ð¾Æº¸¾Ò½À´Ï´Ù. SuperficialÇÑ ÇüÅ°¡ ¸¹¾Ò½À´Ï´Ù.

¾Æ·¡´Â ¹Î¾ç¿ø ±³¼ö´Ô²²¼­ ¸ÚÁö°Ô ESD ÇϽŠÁõ·ÊÀÔ´Ï´Ù. °ú°Å¿¡´Â Àúµµ ½Äµµ ESD¸¦ Çߴµ¥ ¿äÁòÀº À§¸¸ ÇÏ°í ÀÖ½À´Ï´Ù. ¿ø·¡´Â ½Äµµµµ ÇÏ°í À§µµ ÇÏ°í ´ëÀåµµ Çߴµ¥, ÀÌÁ¦´Â ultra-specialization µÇ¾î À§ ESD¸¸ ÇÏ°í ÀÖ½À´Ï´Ù. ÁÁÀº °ÍÀÎÁö ³ª»Û °ÍÀÎÁö ¾Ë ¼ö ¾øÀ¸³ª ÁÁÀº °ÍÀ̶ó´Â »ý°¢Àº µéÁö ¾Ê½À´Ï´Ù. (2019-7-30 ÀÌÁØÇà)


Esophagus, ESD : Squamous cell carcinoma, moderately differentiated
1. Location : 34 cm from incisor
2. Size of invasive carcinoma : (1) longest diameter, 8 mm (2) vertical diameter, 5 mm
3. Size of in situ lesion : (1) longest diameter, 28 mm (2) vertical diameter, 17 mm
4. Tumor multicentricity : single
5. Depth of invasion : invades mucosa (muscularis mucosa) (pT1a)
6. Resection margin : free from carcinoma(N), safety margin : distal 5 mm, proximal 3 mm, anterior 2 mm, posterior 6 mm, deep 0.5 mm
7. Lymphatic invasion : not identified(N)
8. Venous invasion : not identified(N)
9. Perineural invasion : not identified(N)
10. Peritumoral lymphoid follicle: not identified(N)

µå¹°°Ô protruded typeÀε¥µµ depth of invasionÀÌ muscularis mucosa·Î ³ª¿À´Â °æ¿ì°¡ ÀÖ½À´Ï´Ù.

(2015)
Esophagus and upper stomach, Robotic 3-hole operation:
Invasive squamous cell carcinoma, moderately differentiated, middle thoracic esophagus :
1) invasive carcinoma size: 2.6x1.6 cm (exophytic growth)
2) carcinoma in situ size: 3.1 cm
3) extension to muscularis mucosae
4) endolymphatic tumor emboli: not identified
5) perineural invasion: not identified
6) resection margins: free from carcinoma. safety margin: proximal, 7.5cm ; distal, 7.5cm ; circumferential (adventitial) margin(deep), 0.8 cm
7) no metastasis in 19 regional lymph nodes (0/19: "7(Subcarinal)", 0/2; "Gastric lymph node 1", 0/1; "Gastric lymph node 2", 0/3; "Gastric lymph node 3", 0/8; "9L(Pulmonary ligament Left)", 0/0; "9R(Pulmonary ligament right)", 0/0; "Lt Recurrent Laryngeal Nerve lymph node", 0/4; "Rt Recurrent Laryngeal Nerve lymph node", 0/1)
8) treatment effect: no prior treatment

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