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ESD를 추천하겠습니까? 저는 곧바로 수술을 권했습니다. 수술 결과를 100% 정확히 맞출 수는 없으나 진단 정확도를 높이기 위해서 늘 노력하고 있습니다.
Stomach, subtotal gastrectomy:
Early gastric carcinoma
1. Location : lower third, Center at angle and posterior wall
2. Gross type : EGC type IIc
3. Histologic type : tubular adenocarcinoma, moderately differentiated
4. Histologic type by Lauren : intestinal
5. Size : 2.6x2 cm
6. Depth of invasion : invades submucosa (sm2) (pT1b)
7. Resection margin: free from carcinoma, safety margin: proximal 5.0 cm, distal 5.2 cm
8. Lymph node metastasis : no metastasis in 40 regional lymph nodes (pN0)
9. Lymphatic invasion : present
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. AJCC stage by 7th edition: T1b N0
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