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Stomach, endoscopic submucosal dissection:
Composite poorly differentiated neuroendocrine carcinoma and adenocarcinoma
1. Location : prepyloric antrum, lesser curvature
2. Gross type : EGC type IIc
3. Histologic type : poorly differentiated neuroendocrine carcinoma (G3) >> tubular adenocarcinoma, moderately differentiated (30 %)
4. Histologic type by Lauren : intestinal
5. Size of carcinoma : (1) longest diameter, 10 mm (2) vertical diameter, 7 mm
6. Depth of invasion : invades mucosa (muscularis mucosa) (pT1a)
7. Resection margin : free from carcinoma(N), safety margin : distal 4 mm, proximal 11 mm, anterior 8 mm, posterior 12 mm
8. Lymphatic invasion : not identified(N)
9. Venous invasion : not identified(N)
10. Perineural invasion : not identified(N)
11. Microscopic ulcer : absent
12. Histologic heterogeneity: present
13. Mitosis : 60/10 HPF (G3)
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