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Dextrocardia ȯÀÚ¿¡¼­ ¹ß°ßµÈ À§¾ÏÀÔ´Ï´Ù. ½Äµµ¿¡¼­ À§·Î µé¾î°£ ´ÙÀ½ Æò¼Ò¿Í °°Àº ¿ìÃø ¹æÇâÀÌ ¾Æ´Ï¶ó È­¸éÀÇ ÁÂÃø¹æÇâÀ¸·Î antrumÀ¸·Î °¡´Â ±æÀÌ ÀÖ¾ú½À´Ï´Ù. À§°¢ºÎ Á÷»óºÎ¿¡¼­ ¾ÏÀÌ ¹ß°ßµÇ¾ú½À´Ï´Ù.

Stomach, subtotal gastrectomy:
Early gastric carcinoma
1. Location : middle third, Center at low body and posterior wall
2. Gross type : EGC type IIb+IIc
3. Histologic type : tubular adenocarcinoma, poorly differentiated
4. Histologic type by Lauren : diffuse
5. Size : 3.3x3 cm
6. Depth of invasion : invades mucosa (muscularis mucosae) (pT1a)
7. Resection margin: free from carcinoma
8. Lymph node metastasis : no metastasis in 38 regional lymph nodes (pN0)
9. Lymphatic invasion : not identified
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. Peritoneal cytology : negative
13. AJCC stage by 7th edition: pT1a N0


±×·±µ¥ ÀÌ È¯ÀÚÀÇ remnant stomach¿¡¼­ adenoma°¡ ¹ß°ßµÇ¾ú½À´Ï´Ù. (1) dextrocardia, (2) remnant stomach, (3) cardia Á÷ÇϺÎ, (4) ºñ±³Àû ³ÐÀº º´¼ÒÀÎÁö°¡ »ó´çÈ÷ ¾î·Á¿üÁö¸¸ ESD´Â °¡´ÉÇß½À´Ï´Ù. ¾öû Èûµé¾ú½À´Ï´Ù. Resection marginÀÌ ºÎÁ·ÇÒ±îºÁ ½Í¾î¼­ 360µµ circumferential APC ablationÀ» Ãß°¡Çß½À´Ï´Ù.

* Âü°í: EndoTODAY situs inversus

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