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ESD를 추천하겠습니까? 저는 곧바로 수술을 권했습니다.

1. Location : lower third, Center at antrum and lesser curvature
2. Gross type : EGC type IIa+IIc
3. Histologic type : tubular adenocarcinoma, moderately differentiated
4. Histologic type by Lauren : intestinal
5. Size : 1.6x1 cm
6. Depth of invasion : invades submucosa (sm3) (pT1b)
7. Resection margin: free from carcinoma
8. Lymph node metastasis : metastasis to one out of 31 regional lymph nodes (pN1)
9. Lymphatic invasion : present
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. AJCC stage by 7th edition: pT1b N1

IIa + IIc 형은 생각보다 깊은 경우가 많습니다. 이 환자는 림프절 전이까지 있었군요...

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