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Advanced gastric carcinoma
1. Location : esophagus, upper third, Center at cardia (Siewert III)
2. Gross type : Borrmann type 2
3. Histologic type : tubular adenocarcinoma, poorly differentiated
4. Histologic type by Lauren : diffuse
5. Size : 5x5 cm
6. Depth of invasion : invades serosa (pT4a)
7. Extension to esophagus
8. Resection margin: free from carcinoma
9. Lymph node metastasis : metastasis to 37 out of 67 regional lymph nodes (pN3b) (perinodal extension: present)
9. Lymphatic invasion : present
10. Venous invasion : not identified
11. Perineural invasion : present
12. Peritoneal cytology : negative
13. AJCC stage by 7th edition: T4a N3b

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