Parasite | Eso | Sto | Cancer | ESD
001 | 101 | 201 | 301 | 401 | 501 | 601 | 701 | 801 | 901 | 1000
This is a case of papillary adenocarcinoma. Pathologic interpretation is tricky about whether it is an EGC or an AGC.
Advanced gastric carcinoma
1. Location : lower third, center at antrum and lesser curvature
2. Gross type : Borrmann type 3
3. Histologic type : papillary adenocarcinoma, moderately differentiated
4. Histologic type by Lauren : intestinal
5. Size : 4.3x3.2 cm
6. Depth of invasion : extension to proper muscle (pT2a)
7. Resection margin: free from carcinoma, safety margin: proximal, 7.5 cm; distal, 1.8 cm
8. Lymph node metastasis: metastasis to one out of 63 regional lymph nodes (pN1)
9. Lymphatic invasion : present
10.Venous invasion : present (intramural)
11.Perineural invasion : not identified
Note: This carcinoma can be classified as SM3-massive by Japanese classification.
The pathology note is very unusual. Japanese pathologists are different from pathologist in other countries.
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