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[위암 230 (2015-4-7) - Fundic gland type adenocarcinoma]
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ESD 후 수술을 시행하였고 드문 형태의 암으로 진단되었습니다.
Stomach, endoscopic submucosal dissection:
1. Location : angle, lesser curvature
2. Gross type : EGC type IIc
3. Histologic type : fundic gland type adenocarcinoma, very well differentiated >> poorly (< 5%) differentiated
4. Histologic type by Lauren : intestinal
5. Size : 2x1.6x0.1 cm
6. Depth of invasion : invades submucosa, (depth of sm invasion : 400 ㎛) (pT1b)
7. Resection margin: involvement of all lateral resection margins, safety margin: deep 800 ㎛ (sm only)
8. Lymphatic invasion : not identified
9. Venous invasion : not identified
10. Perineural invasion : not identified
11. Microscopic ulcer : absent
12. Histologic heterogeneity: present
오늘까지 보여드린 3 증례를 모아서 본 병원 병리과에서 증례보고를 하였습니다. Gastric adenocarcinoma of fundic gland type: report of three cases. Korean J Pathol 2012