EndoTODAY 내시경 교실
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[Gastric cancer 419]
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내시경 검사에서 15mm 크기의 EGC IIa로 판단되었습니다. ESD 후 최종 결과는 26mm WHYX 병소였습니다. 분화도가 매우 좋아 경계 판단이 어려운 종류의 위암입니다.
Stomach, endoscopic submucosal dissection:
Early gastric carcinoma
1. Location : body, posterior wall
2. Gross type : EGC type IIb
3. Histologic type : tubular adenocarcinoma, moderately differentiated (WHYX lesion)
4. Histologic type by Lauren : intestinal
5. Size of carcinoma : (1) longest diameter, 26 mm (2) vertical diameter, 17 mm
6. Depth of invasion : invades mucosa (lamina propria) (pT1a)
7. Resection margin : free from carcinoma(N), safety margin : distal 10 mm, proximal 12 mm, anterior 12 mm, posterior 16 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: absent
* 출처: 2016-10-27. 목요내시경집담회
© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng.
