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[위암 301 - 양성질환 수술 후 잔위암]

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십이지장궤양 수술 30년 후 발생한 문합부 잔위암입니다.

Advanced gastric carcinoma
1. Location : middle third, Center at body and lesser curvature
2. Gross type : Borrmann type 2
3. Histologic type : tubular adenocarcinoma, poorly differentiated
4. Histologic type by Lauren : diffuse
5. Size : 5.5x3 cm
6. Depth of invasion : penetrates subserosal connective tissue (pT3)
7. Resection margin: free from carcinoma, safety margin: proximal 11 cm, distal 11 cm
8. LN metastasis to 4 out of 19 regional lymph nodes (pN2), (4/19: "1", 0/1; "2", 0/1; "3", 0/11; "4", 1/1; "periduodenal and gastric LN", 2/3; perigastric LN, 1/2)
9. Lymphatic invasion : present
10. Venous invasion : not identified
11. Perineural invasion : present

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