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[Gastric cancer 435]

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위각부 조기위암 ESD 후 local recurrence로 의뢰된 분입니다. 내시경 검사에서 scar 점막 주변이 평탄하지 않아 여러 곳 조직검사를 했는데 모두 암이 나와 ESD를 시도하지 않고 수술을 하였습니다.

Stomach, subtotal gastrectomy:
Early gastric carcinoma
1. Location : middle third, Center at antrum, angle and lesser curvature
2. Gross type : EGC type IIb
3. Histologic type : tubular adenocarcinoma, moderately differentiated
4. Histologic type by Lauren : intestinal
5. Size : 2.7x2.3 cm
6. Depth of invasion : invades mucosa (lamina propria) (pT1a)
7. Resection margin: free from carcinoma, safety margin: proximal 3.3 cm, distal 3.4 cm
8. Lymph node metastasis : no metastasis in 17 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

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