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[위암 398]

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비전형적인 모양인지라 발견하기 어려운 보만 4형 진행성위암입니다.

Stomach, total gastrectomy:
Advanced gastric carcinoma
1. Location : [4] esophagus, [2] upper third, [1] middle third, [3] lower third , Center at body and lesser curvature
2. Gross type : Borrmann type 4
3. Histologic type : tubular adenocarcinoma, poorly (poorly cohesive) differentiated
4. Histologic type by Lauren : diffuse
5. Size : 13x10 cm
6. Depth of invasion : invades serosa (pT4a)
7. Resection margin: negative (safety margin: proximal 2 cm, distal 5.5 cm)
8. Lymph node metastasis : metastasis to 20 out of 37 regional lymph nodes (pN3b) (perinodal extension: present)
9. Lymphatic invasion : present
10. Venous invasion : not identified
11. Perineural invasion : present
12. AJCC stage by 7th edition: pT4a N3b

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