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Stomach, completion total gastrectomy:
Status post subtotal gastrectomy for gastric cancer at outside hospital (1993)
Advanced gastric carcinoma
1. Location : upper third, Center at cardia (Siewert III) and lesser curvature
2. Gross type : Borrmann type 4
3. Histologic type : tubular adenocarcinoma, poorly differentiated
4. Histologic type by Lauren : diffuse
5. Size : 10x4.9 cm
6. Depth of invasion : invades adjacent structure (pT4b) (diaphragm)
7. Resection margin: free from carcinoma, safety margin: proximal 2.5 cm, distal 3 cm
8. Lymph node metastasis : metastasis to 4 out of 4 regional lymph nodes (pN2)
9. Lymphatic invasion : present
10. Venous invasion : not identified
11. Perineural invasion : present
12. Peritoneal cytology : negative
13. AJCC stage by 7th edition: pT4b N2

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