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Á¶Á÷°Ë»ç´Â M/D adenocarcinoma¿´½À´Ï´Ù. ESD¸¦ ÇϽðڽÀ´Ï±î? ¼ö¼úÀ» ±ÇÇϽðڽÀ´Ï±î?




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Àú´Â °í¹Î³¡¿¡ ESD¸¦ ±ÇÇÏ¿´½À´Ï´Ù. ´ÙÇེ·´°Ô ½Ã¼ú °á°ú´Â ÁÁ¾Ò½À´Ï´Ù. °æ°ú°üÂû ¿¹Á¤ÀÔ´Ï´Ù.

1. Location : antrum, posterior wall
2. Gross type : EGC type IIc+III
3. Histologic type : tubular adenocarcinoma, moderately differentiated
4. Histologic type by Lauren : intestinal
5. Size of carcinoma : (1) longest diameter, 16 mm (2) vertical diameter, 13 mm
6. Depth of invasion : invades mucosa (muscularis mucosa) (pT1a)
7. Resection margin : free from carcinoma(N), safety margin : distal 15 mm, proximal 10 mm, anterior 12 mm, posterior 18 mm
8. Lymphatic invasion : not identified(N)
9. Venous invasion : not identified(N)
10. Perineural invasion : not identified(N)
11. Microscopic ulcer : absent
12. Histologic heterogeneity: absent

2014. 4. 16. ÀÌÁØÇà