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W/D adenocarcinomaÀÔ´Ï´Ù. ESD¸¦ ½ÃµµÇØ º¸°Ú½À´Ï±î?

Total gastrectomy
Early gastric carcinoma
1. Location : upper third, Center at cardia (Siewert II)
2. Gross type : EGC type IIc
3. Histologic type : tubular adenocarcinoma, well differentiated
4. Histologic type by Lauren : intestinal
5. Size : 4.0x3.0 cm
6. Depth of invasion : invades submucosa (sm1) (pT1b)
7. Resection margin: free from carcinoma
8. Lymph node metastasis : no metastasis in 70 regional lymph nodes (pN0)
9. Lymphatic invasion : not identified
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. Separate lesions : leiomyomas (up to 0.4x0.3 cm, cardia)
13. Peritoneal cytology : negative
14. AJCC stage by 7th edition: T1b N0

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