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[Thursday Endoscopy Conference 20161117]

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1. Diffuse large B cell lymphoma

* Âü°í: EndoTODAY Diffuse large B cell lymphoma


2. EGC

½ÉÀå ÆǸ· ¼ö¼ú ÈÄ ¾Æ½ºÇǸ°°ú ¿ÍÆĸ°À» º¹¿ëÇÏ´ø Áß ¹ß»ýÇÑ melena¿´°í Á¶Á÷°Ë»ç¿¡¼­ signet ring cell carcinoma°¡ ³ª¿Ô½À´Ï´Ù. º´¼ÒÀÇ Å©±â¸¦ Àß »ý°¢ÇØ º¸½Ã±â ¹Ù¶ø´Ï´Ù.

ÁÖ¸§ÀÌ ²ø·Á¿À´Â ¶Ñ·ÇÇÑ ÇÔ¸ôºÎÀÇ ¼Ò¸¸ÂÊÀ¸·Î ³Ð°Ô Åð»öµÇ°í ¾ÆÁÖ ¾à°£ flat depressedµÈ ºÎºÐÀ» º¸¼Ì½À´Ï±î?

Early gastric carcinoma
1. Location : middle third, Center at low body and anterior wall
2. Gross type : EGC type IIb+IIc
3. Histologic type : signet-ring cell carcinoma
4. Histologic type by Lauren : mixed
5. Size : 3.5x2.9 cm
6. Depth of invasion : invades submucosa (sm3) (pT1b)
7. Resection margin: free from carcinoma, safety margin: proximal 1.9 cm, distal 8.7 cm
8. Lymph node metastasis : no metastasis in 45 regional lymph nodes
9. Lymphatic invasion : not identified
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. AJCC stage by 7th edition: pT1b N0


3. Rectosigmoid cancer (signet ring cell carcinoma) with multiple metastasis

µÎ ´Þ ÀüºÎÅÍ ¹èº¯ÀÌ Àæ¾ÆÁö¸é¼­ Àܺ¯°¨, ¿·±¸¸® ÅëÁõ ¹× üÁß°¨¼Ò°¡ ¹ß»ýÇÏ¿´°í left cervical lymph node°¡ ¸¸Á®Áü.

ù ³»½Ã°æ Á¶Á÷°Ë»ç¿¡¼­ focal active inflammation with lymphoid aggregate°¡ ³ª¿ÔÀ¸³ª, Àç°Ë¿¡¼­ signet ring cell carcinoma within lymphatic spaces; either primary or metastatic ¼Ò°ßÀ̾ú½À´Ï´Ù. CEA°¡ 383·Î »ó½ÂµÇ¾î ÀÖ¾ú½À´Ï´Ù. PET¿¡¼­´Â ¶Ñ·ÇÇÏÁö ¾Ê¾ÒÀ¸³ª chest CT¿Í abdominal CT¿¡¼­´Â multiple metastasis°¡ ÀÖ¾ú½À´Ï´Ù. À§³»½Ã°æÀº Á¤»ó.


[References]

1) SMC Endoscopy Unit »ï¼º¼­¿ïº´¿ø ³»½Ã°æ½Ç

2) SMC Monday GI conference »ï¼º¼­¿ïº´¿ø ÀÏ¿ø³»½Ã°æ±³½Ç ¿ù¿äÁ¡½É¼ÒÈ­±âÁý´ãȸ

3) SMC Thursday endoscopy conference »ï¼º¼­¿ïº´¿ø ÀÏ¿ø³»½Ã°æ±³½Ç ¸ñ¿äÁ¡½É³»½Ã°æÁý´ãȸ

© ÀÏ¿ø³»½Ã°æ±³½Ç ¹Ù¸¥³»½Ã°æ¿¬±¸¼Ò ÀÌÁØÇà. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng.