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[Esophageal cancer with proper muscle invasion]

Proper muscle invasion을 보인 식도암 사진을 모았습니다.

LN 0/24

LN 3/29

식도 SMT로 의뢰되었으나 내시경 소견을 자세히 review한 후 식도암을 의심하여 EUS 하지 않고 내시경 재검을 하여 식도암을 확인한 증례. LN 2/40

Gastric high body의 궤양성 병변이 있다고 의뢰되었으나 식도암으로 진단된 예. 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

LN 0/43

Esophageal cancer after lye stricture. LN 0/24

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