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[Gastric cancer 400]

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병리에서는 IIb로 주었으나 내시경 소견을 기초로 IIc로 보는 것이 좋겠습니다. 넓지만 깊지는 않았습니다. 전정부에 lymphofollicular gastritis 소견이 함께 있습니다.

Stomach, subtotal gastrectomy:
Early gastric carcinoma
1. Location : middle third, Center at low body and posterior wall
2. Gross type : EGC type IIb
3. Histologic type : tubular adenocarcinoma, poorly (poorly cohesive) differentiated with signet ring cells (about 40 %)
4. Histologic type by Lauren : diffuse
5. Size : 4x2.5 cm
6. Depth of invasion : invades mucosa (lamina propria) (pT1a)
7. Resection margin: free from carcinoma, safety margin: proximal 2 cm, distal 9 cm
8. Lymph node metastasis : no metastasis in 34 regional lymph nodes (pN0)
9. Lymphatic invasion : not identified
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. AJCC stage by 7th edition: pT1a N0

© EndoTODAY Endoscopy Learning Center. Jun Haeng Lee. 일원내시경교실 바른내시경연구소 이준행