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[Esophageal cancer with proper muscle invasion]
Proper muscle invasionÀ» º¸ÀÎ ½Äµµ¾Ï »çÁøÀ» ¸ð¾Ò½À´Ï´Ù.
LN 0/24
LN 3/29
½Äµµ SMT·Î ÀǷڵǾúÀ¸³ª ³»½Ã°æ ¼Ò°ßÀ» ÀÚ¼¼È÷ reviewÇÑ ÈÄ ½Äµµ¾ÏÀ» ÀǽÉÇÏ¿© EUS ÇÏÁö ¾Ê°í ³»½Ã°æ Àç°ËÀ» ÇÏ¿© ½Äµµ¾ÏÀ» È®ÀÎÇÑ Áõ·Ê. LN 2/40
Gastric high bodyÀÇ ±Ë¾ç¼º º´º¯ÀÌ ÀÖ´Ù°í ÀǷڵǾúÀ¸³ª ½Äµµ¾ÏÀ¸·Î Áø´ÜµÈ ¿¹. Extension to proximal stomach (+). LN 3/64
Esophagus and upper stomach, Ivor Lewis operation : Invasive squamous cell carcinoma, poorly differentiated, middle thoracic esophagus :
1) invasive carcinoma size: 5.1x2.5 cm
2) extension to proper muscle layer
3) endolymphatic tumor emboli: not identified
4) perineural invasion: not identified
5) resection margins: free from carcinoma
6) metastasis to 1 out of 25 regional lymph nodes, with extracapsular extension)(size of the largest metastasis: 1.5cm) (1/25: "7(Subcarinal)", 0/9; "Gastric lymph node 2", 0/1; "Gastric lymph node 3", 0/4; "Lt Recurrent Laryngeal Nerve lymph node", 0/7; "Rt Recurrent Laryngeal Nerve lymph node", 1/4)
7) treatment effect: no prior treatment
1) tumor size: 5.8x2.7cm
2) extension to proper muscle layer
3) endolymphatic tumor emboli: present
4) intramural venous tumor emboli: present
5) intramural (submucosal) metastatic tumor nodules: present (two foci)
6) negative resection margins
7) metastasis to 2 out of 22 regional lymph nodes
Esophageal cancer after lye stricture. LN 0/24
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