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위암 심달도 진단은 아무리 공부해도 계속 틀립니다. EGC-like AGC입니다. 림프절 전이가 대단했습니다.

Stomach, subtotal gastrectomy:
Advanced gastric carcinoma
1. Location : lower third, Center at antrum and posterior wall
2. Gross type : Borrmann type 3
3. Histologic type : tubular adenocarcinoma, poorly differentiated
4. Histologic type by Lauren : mixed
5. Size : 4.5x1.7 cm
6. Depth of invasion : invades muscularis propria (pT2)
7. Resection margin: free from carcinoma, safety margin: proximal 6.2 cm, distal 6.5 cm
8. Lymph node metastasis : metastasis to 20 out of 50 regional lymph nodes (pN3b) (perinodal extension: present)
9. Lymphatic invasion : present
10. Venous invasion : not identified
11. Perineural invasion : present
12. Peritoneal cytology : negative
13. AJCC stage by 7th edition: pT2 N3b

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