내시경집담회. EndoTODAY 이준행

EndoTODAY | EndoATLAS | Outpatient Clinic

Parasite | Esophagus | Stomach | Cancer | ESD

[Thursday Endoscopy Conference 20171207 - 이소정 발표]

1. Herpetic esophagitis + CMV gastric ulcer (간이식 환자)

2. EGC (M/42)

Stomach, radical subtotal gastrectomy:
. Early gastric carcinoma
1. Location : lower third, Center at low body and anterior wall to greater curvature
2. Gross type : EGC type IIc
3. Histologic type : signet-ring cell carcinoma
4. Histologic type by Lauren : diffuse
5. Size : 2.5x1.1 cm
6. Depth of invasion : invades submucosa (sm2) (pT1b)
7. Resection margin: free from carcinoma, safety margin: proximal 5.7 cm, distal 6.5 cm
8. Lymph node metastasis : no metastasis in 39 regional lymph nodes (pN0) (0/39: "3", 0/7; "4", 0/7; "5", 0/0; "6", 0/8; "7", 0/4; "9", 0/4; "8a", 0/5; "11p", 0/1; "12a", 0/2; "4sb", 0/0; "1", 0/1)
9. Lymphatic invasion : not identified
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. AJCC stage by 7th edition: pT1b N0

3. 장결핵

50대 여성. A colon biopsy: Focal active inflammation with a non-caseating granuloma and lymphoid aggregates, Culture: Mycobacterium tuberculosis complex isolated

[References]

1) SMC Endoscopy Unit 삼성서울병원 내시경실

2) SMC Monday GI conference 삼성서울병원 일원내시경교실 월요점심소화기집담회

3) SMC Thursday endoscopy conference 삼성서울병원 일원내시경교실 목요점심내시경집담회