내시경집담회. EndoTODAY 이준행

1. 베체 장염 (A colon)

2. Lipoma (A colon)

3. DLBCL of the gastric fundus

Initial endoscopy
R-CHOP 항암치료 후 호전 소견

* 참고: EndoTODAY diffuse large B cell lymphoma

PPT PDF 9 M

4. AGC

검진 위내시경에서 발견되었습니다. 첫 내시경에서는 M/D, 본 병원 재검에서는 P/D로 나왔습니다. 수술을 하였는데... 생각보다 심했습니다.

Stomach, radical total gastrectomy:
Advanced gastric carcinoma
1. Location : upper third, Center at body and lesser curvature, posterior wall
2. Gross type : Borrmann type 3
3. Histologic type : tubular adenocarcinoma, poorly (solid, 80%) and moderately (20%) differentiated
4. Histologic type by Lauren : mixed
5. Size : 5.7x3.9 cm
6. Depth of invasion : penetrates subserosal connective tissue (pT3)
7. Resection margin: free from carcinoma, safety margin: proximal 5.2 cm, distal 8.1 cm
8. Lymph node metastasis : metastasis to 4 out of 59 regional lymph nodes (pN2) (perinodal extension: absent) (4/59: "2", 2/5; "3", 1/12; "4", 0/11; "5", 0/1; "6", 0/2; "7", 1/2; "9", 0/4; "8a", 0/5; "11p", 0/2; "12a", 0/4; "4sb", 0/1; "1", 0/8; perigastric, 0/2)
9. Lymphatic invasion : present
10. Venous invasion : not identified
11. Perineural invasion : present
12. Peritoneal cytology : negative
13. AJCC stage by 7th edition: pT3 N2

[References]

1) SMC Endoscopy Unit 삼성서울병원 내시경실

2) SMC Monday GI conference 삼성서울병원 일원내시경교실 월요점심소화기집담회

3) SMC Thursday endoscopy conference 삼성서울병원 일원내시경교실 목요점심내시경집담회