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[Gastric cancer 415]

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2016년 10월 6일 SMC 내시경 집담회에서 논의하였던 증례입니다.

Cardia cancer는 늘 생각보다 심합니다.

Stomach, total gastrectomy:
Advanced gastric carcinoma
1. Location : upper third, Center at cardia
2. Gross type : Borrmann type (unclassifiable) (mimicking EGC type IIc)
3. Histologic type : tubular adenocarcinoma, poorly (poorly cohesive) differentiated
4. Histologic type by Lauren : diffuse
5. Size : 2.5x2.4 cm
6. Depth of invasion : invades muscularis propria (pT2)
7. Resection margin: free from carcinoma, safety margin: proximal 1 cm, distal 18 cm
8. Lymph node metastasis : metastasis to 1 out of 33 regional lymph nodes (pN1) ("9", 1/4)
9. Lymphatic invasion : present
10. Venous invasion : not identified
11. Perineural invasion : present 12. AJCC stage by 7th edition: T2 N1

PPT PDF 4.6 M

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