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젊은 환자였는데 매우 심했습니다.

Advanced gastric carcinoma
1. Location : middle third, Center at body and greater curvature
2. Gross type : Borrmann type 3
3. Histologic type : tubular adenocarcinoma, poorly differentiated
4. Histologic type by Lauren : mixed
5. Size : 6.5x6 cm
6. Depth of invasion : invades serosa (pT4a)
7. Resection margin: free from carcinoma, safety margin: proximal 5.4 cm, distal 5.4 cm
8. Lymph node metastasis : metastasis to 48 out of 67 regional lymph nodes (pN3b)
9. Lymphatic invasion : present(+++)
10. Venous invasion : present(extramural)
11. Perineural invasion : present
12. AJCC stage by 7th edition: pT4a N3b

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