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[Gastric cancer 451 - AGC]

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마지막 내시경이 9개월 전이셨던 분입니다. 위체상부 소만은 위내시경 검사의 중요한 blind area입니다.


Stomach, total gastrectomy:
Advanced gastric carcinoma
1. Location : upper third, Center at high body and posterior wall to lesser curvature
2. Gross type : Borrmann type 3
3. Histologic type : tubular adenocarcinoma, poorly (poorly cohesive) differentiated
4. Histologic type by Lauren : diffuse
5. Size : 4x3 cm
6. Depth of invasion : invades serosa (pT4a)
7. Resection margin: free from carcinoma, safety margin: proximal 1 cm, distal 10.5 cm
8. Lymph node metastasis : metastasis to 7 out of 60 regional lymph nodes (pN3a), (perinodal extension: absent) (7/60: "2", 1/3; "3", 5/18; "4", 0/11; "5", 0/0; "6", 0/3; "7", 0/2; "9", 0/6; "8a", 0/3; "11p", 1/3; "12a", 0/3; "4sb", 0/7; "1", 0/1)
9. Lymphatic invasion : present
10. Venous invasion : not identified
11. Perineural invasion : present
12. Peritoneal cytology : negative
13. AJCC stage by 7th edition: pT4a N3a



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