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60대 여성이었습니다. CT에서 병소가 간과 닿아있어서 걱정을 하였습니다. 다행스럽게 간으로의 direct invasion은 없었습니다.
Stomach, total gastrectomy:
Advanced gastric carcinoma
1. Location : middle third, Center at body and lesser curvature
2. Gross type : Borrmann type 3
3. Histologic type : tubular adenocarcinoma, poorly differentiated
4. Histologic type by Lauren : diffuse
5. Size : 4x3cm (AGC type mass)
6. Depth of invasion : penetrates subserosal connective tissue (pT3)
7. Resection margin: free from carcinoma, safety margin: proximal 1.5 cm, distal 4 cm
8. Lymph node metastasis : metastasis to 2 out of 42 regional lymph nodes (pN1) (perinodal extension: absent)
9. Lymphatic invasion : not identified
10. Venous invasion : not identified
11. Perineural invasion : present
12. Associated findings : ulceration
13. AJCC stage by 7th edition: T3 N1
© 2016-2-29. 일원내시경교실 바른내시경연구소 이준행