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[Thursday Endoscopy Conference 20170803]

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1. EGC


Stomach, subtotal gastrectomy:
Early gastric carcinoma
1. Location : lower third Center at angle and anterior wall
2. Gross type : EGC type IIa
3. Histologic type : tubular adenocarcinoma, poorly differentiated
4. Histologic type by Lauren : diffuse
5. Size : 2.1x1.2 cm
6. Depth of invasion : invades mucosa (muscularis mucosae) (pT1a)
7. Resection margin: free from carcinoma, safety margin: proximal 3 cm, distal 5 cm
8. Lymph node metastasis : no metastasis in 32 regional lymph nodes (pN0) (0/32: "1",0/0; "3", 0/7; "4",0/0; "4sb", 0/0; "5", 0/1; "6", 0/5; "7", 0/2; "8a", 0/4; "9", 0/2; "11p", 0/0; "12a", 0/1)
9. Lymphatic invasion : not identified
10. Venous invasion : not identified
11. Perineural invasion : not identified


2. Superficial esophageal cancer after subtotal gastrectomy for gastric cancer


3. RT-induced esophagitis

Left nasopharyngeal cancer (T4N0)에 대한 definitive CCRT 2년 후 lung metastasis가 있어 RT후 반년만에 dysphagia 발생. 내시경에서 식도 circumferential ulceration있었고 steroid 사용 후 다소 호전

* 참고: EndoTODAY 방사선 관련 위장관 손상


4. 내시경 소독 동영상 시청

* 참고: EndoTODAY 내시경 소독


[References]

1) SMC Endoscopy Unit 삼성서울병원 내시경실

2) SMC Monday GI conference 삼성서울병원 일원내시경교실 월요점심소화기집담회

3) SMC Thursday endoscopy conference 삼성서울병원 일원내시경교실 목요점심내시경집담회

© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng.