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[Endoscopic diagnosis of Borrmann type IV (6) - Pseudopyloric ring]

2020-8-10. 8PM. EndoTODAY Live

In depth analysis º¸¸¸ 4Çü ÁøÇ༺ À§¾Ï À§³»½Ã°æ ¾ÆƲ¶ó½º (PDF) 2024


º¸¸¸ 4Çü ÁøÇ༺À§¾ÏÀÌ Ä§À±µÈ ºñÁ¤»óºÎÀ§°ú Á¤»óºÎÀ§°¡ ¾à°£ ºÎÇ®¾î¿À¸£°í Á¼¾Æº¸ÀÌ´Â ¿¹°¡ ÀÖ½À´Ï´Ù. ƯÈ÷ pylorusº¸´Ù ¸î cm ¾Õ¿¡¼­ ring ¸ð¾çÀ¸·Î ¾à°£ Á¼¾Æº¸ÀÌ¸é ¸¶Ä¡ pyloric ringÀÌ Çϳª ´õ ÀÖ´Â °ÍÀ¸·Î Âø°¢ÇÒ ¼ö ÀÖ½À´Ï´Ù. À̸¦ pseudopyloric ringÀ̶ó°í ÇÕ´Ï´Ù.

(2015)


[20170427 ¸ñ¿äÁý´ãȸ Áõ·Ê]


Stomach, total gastrectomy:
Advanced gastric carcinoma
1. Location : entire stomach, Center at body and anterior wall
2. Gross type : Borrmann type 4
3. Histologic type : tubular adenocarcinoma, poorly differentiated
4. Histologic type by Lauren : diffuse
5. Size : 15x13 cm
6. Depth of invasion : invades serosa (pT4a)
7. Resection margin: free from carcinoma, safety margin: proximal 1.5 cm, distal 2 cm
8. Lymph node metastasis : metastasis to 5 out of 50 regional lymph nodes (pN2), (perinodal extension: absent) (5/50: "LN3,5", 0/2; "LN4,6", 2/5; "1", 0/3; "2", 0/4; "4ss", 1/7; "5", 0/1; "6", 0/11; "8a", 0/4; "7", 0/1; "9", 1/2; "11p", 0/1; "12a", 0/3; perigastric, 1/6)
9. Lymphatic invasion : present (++)
10. Venous invasion : not identified
11. Perineural invasion : present
12. Peritoneal cytology : atypical cells
13. AJCC stage by 7th edition: pT4a N2

Fundus¿Í high body´Â ºñ±³Àû extensibility¸¦ À¯ÁöÇÏ°í ÀÖÀ¸³ª À§Ã¼ÇÏºÎ¿Í ±ÙÀ§ ÀüÁ¤ºÎ´Â Àß ÆìÁöÁö ¾Ê°í ±× ºÎÀ§¿¡ ÀÛÀº ±Ë¾ç º´¼Ò°¡ °üÂûµÇ¾ú½À´Ï´Ù. Á¶Á÷°Ë»ç¿¡¼­ ¾ÏÀÌ È®ÀÎµÇ¾î ¼ö¼úÀ» ÇÏ¿´½À´Ï´Ù. ºñ·Ï Á¶Á÷°Ë»ç¿¡¼­ ¾ÏÀÌ È®ÀεÇÁö ¾Ê¾Ò´õ¶óµµ Àû±ØÀûÀÎ ¼ö¼úÀÌ ÇÊ¿äÇÑ °æ¿ì¶ó°í ÆǴܵ˴ϴÙ.

Áý´ãȸ °úÁ¤ Áß ³»½Ã°æ »çÁø¸¸ º¸°í À§¾ÏÀÇ 3Â÷¿øÀû ±¸Á¶¸¦ Àß ÀÌÇØÇÏÁö ¸øÇÑ ºÐµéÀÌ °è¼Å¼­ CT gastrography ¿µ»óÀ» ÀÌ¿ëÇÏ¿© ±×¸²À» ±×·Á º¸¾Ò½À´Ï´Ù. À§ fundus´Â ºñ±³Àû save µÇ¾ú°í, À§Ã¼»óºÎºÎÅÍ ±ÙÀ§ÀüÁ¤ºÎ±îÁö diffuseÇÏ°Ô infiltrationÇÏ´Â ¾ç»óÀÔ´Ï´Ù. À§Ã¼ÁߺκÎÅÍ´Â ÇöÀúÈ÷ Á¼¾ÆÁ® ÀÖ°í ±ÙÀ§ÀüÁ¤ºÎ¿¡¼­´Â °ÅÀÇ ¸·È÷±â Á÷Àü±îÁö °£ »óÅÂÀÔ´Ï´Ù. ¿øÀ§ ÀüÁ¤ºÎ´Â save µÇ¾î ÀÖ½À´Ï´Ù. µû¶ó¼­ Á¼¾ÆÁø ºÎÀ§ ³¡ÀÌ ¸¶Ä¡ pseudo-pyloric ring ºñ½ÁÇÑ ¸ð¾çÀ» ÀÌ·ç°í ÀÖ½À´Ï´Ù.


À§½ÄµµÁ¢ÇպκÎÅÍ ½ÊÀÌÁöÀå ±¸ºÎ±îÁö ħ¹üÇÑ º¸¸¸ 4Çü ÁøÇ༺ À§¾ÏÀÔ´Ï´Ù. ½ÊÀÌÁöÀå±îÁö ħ¹üµÈ °æ¿ì´Â ¸¹Áö ¾ÊÀ¸´Ï Àß ºÁ µÎ½Ã±â ¹Ù¶ø´Ï´Ù. ¸Ç ¿À¸¥ÂÊ ¾Æ·¡ »çÁøÀÔ´Ï´Ù.

* Âü°í 1: EndoTODAY º¸¸¸ 4Çü ÁøÇ༺ À§¾Ï

* Âü°í 2: Borrmann type IV AGC. Clin Endosc 2016

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