EndoTODAY 내시경 교실
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[Gastric cancer 441]
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검진 위내시경에서 발견되었습니다. 첫 내시경에서는 M/D, 본 병원 재검에서는 P/D로 나왔습니다. 수술을 하였는데... 생각보다 심했습니다.
Stomach, radical total gastrectomy:
Advanced gastric carcinoma
1. Location : upper third, Center at body and lesser curvature, posterior wall
2. Gross type : Borrmann type 3
3. Histologic type : tubular adenocarcinoma, poorly (solid, 80%) and moderately (20%) differentiated
4. Histologic type by Lauren : mixed
5. Size : 5.7x3.9 cm
6. Depth of invasion : penetrates subserosal connective tissue (pT3)
7. Resection margin: free from carcinoma, safety margin: proximal 5.2 cm, distal 8.1 cm
8. Lymph node metastasis : metastasis to 4 out of 59 regional lymph nodes (pN2) (perinodal extension: absent) (4/59: "2", 2/5; "3", 1/12; "4", 0/11; "5", 0/1; "6", 0/2; "7", 1/2; "9", 0/4; "8a", 0/5; "11p", 0/2; "12a", 0/4; "4sb", 0/1; "1", 0/8; perigastric, 0/2)
9. Lymphatic invasion : present
10. Venous invasion : not identified
11. Perineural invasion : present
12. Peritoneal cytology : negative
13. AJCC stage by 7th edition: pT3 N2
© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng.
