EndoTODAY | EndoATLAS | ¿Ü·¡¼³¸íÀÚ·á

±â»ýÃæ | ½Äµµ | À§ | À§¾Ï | ESD | õ±â´©¼³

Home | Guide | ÁÖÀÎÀå | ±¸µ¶ | °Ë»ö | ¸µÅ©


[ÀÏ¿ø³»½Ã°æ±³½Ç ¸ñ¿äÁ¡½ÉÁý´ãȸ 2016-1-14]

Previous | Next

1. À§¾ÏÀε¥ ŸÀå±â Áúȯ (Æó¾Ï Àç¹ß)À¸·Î ¼ö¼úÇÏÁö ¸øÇÔ


2. ù Á¶Á÷°Ë»ç¿¡¼­ ¾ÏÀ¸·Î È®ÀεÇÁö ¾Ê¾ÒÀ¸³ª Áï½Ã Àü¿øµÇ¾î Àç°ËÀ» ÅëÇÏ¿© Áø´ÜµÇ¾ú´ø º¸¸¸ 4Çü ÁøÇ༺ À§¾Ï (À§¾Ï 330)

6°³¿ù ÀüºÎÅÍ ¼ÒÈ­ºÒ·®, ¼Ó¾²¸², ¿À½É, ±¸Åä.

ù ³»½Ã°æ Á¶Á÷°Ë»ç¿¡¼­ ¾ÏÀ¸·Î ³ª¿ÀÁö ¾Ê¾Æ "mid and lower body¿¡¼­ edematous, hypermic mucosa, coarse nodularity, °ø±âÁÖÀÔ¿¡µµ Àß ÆìÁöÁö ¾ÊÀ½ µî ¼Ò°ß"ÀÌ ÀÖ¾î Àç°ËÀÌ ÇÊ¿äÇÏ´Ù°í ÀǷڵǾú½À´Ï´Ù. Á¶Á÷°Ë»ç¸¦ ÇÏ¿´°í ÀüÁ¤ºÎ ´ë¸¸¿¡¼­´Â ¾Ï(signet ring cell carcinoma)À¸·Î ³ª¿ÔÀ¸³ª ¾Ï ħÀ± ºÎÀ§°¡ Ʋ¸²¾ø´Â À§Ã¼»óºÎ¿¡¼­´Â ¾ÏÀÌ È®ÀεÇÁö ¾Ê¾Ò½À´Ï´Ù. º¸¸¸ 4Çü ÁøÇ༺ À§¾Ï¿¡¼­´Â Á¶Á÷°Ë»ç¿¡¼­ ¾ÏÀ¸·Î È®ÀεÇÁö ¾ÊÀ» ¼ö ÀÖÀ½À» Àß º¸¿©ÁÖ´Â Áõ·Ê¿´½À´Ï´Ù. ¹Ì¶õÀ̳ª ±Ë¾çºÎÀ§¸¦ Àß Ã£¾Æ¼­ Á¶Á÷°Ë»ç¸¦ ÇÏ´Â °ÍÀÌ ÃÖ¼±ÀÔ´Ï´Ù. ¼ö¼úÀ» ÇÏ¿´½À´Ï´Ù. ¸Å¿ì ½ÉÇß½À´Ï´Ù.

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)
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


3. Diffuse large B cell lymphoma

* Âü°í: ¿£µµÅõµ¥ÀÌ diffuse large B cell lymphoma


4. Mantle cell lymphoma

CD20 (+), CD3 (-), Cyclin D1 (+)

* Âü°í: ¿£µµÅõµ¥ÀÌ mantle cell lymphoma


5. Eosinophilic colitis

2ÁÖ ÀüºÎÅÍ hematochezia¿Í diarrhea



© ÀÏ¿ø³»½Ã°æ±³½Ç ¹Ù¸¥³»½Ã°æ¿¬±¸¼Ò ÀÌÁØÇà