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[Gastric cancer 474]

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Ÿ º´¿ø¿¡¼­ Áß°£¿¡ ÀÇ·Ú¹ÞÀº 70´ë ³²ÀÚ È¯ÀÚÀÔ´Ï´Ù.

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(1) lower-body, PW side Á¶Á÷°Ë»ç: HGD
(2) distal antrum, PW side Á¶Á÷°Ë»ç: LGD

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Çѹø¿¡ Ä¡·áÇÏÁö ¸øÇÏ¿´´ø antrum, PWº´¼Ò¿¡ ´ëÇÑ ÃßÀû ³»½Ã°æ Á¶Á÷°Ë»ç¿¡¼­ HGD°¡ ³ª¿Í µÎ¹ø° ESD ½Ã¼ú °èȹÀ̾úÀ¸³ª ȯÀÚ°¡ ¿øÇÏ¿© º» º´¿øÀ» ¹æ¹®ÇÏ¿´½À´Ï´Ù. Áï½Ã ESD¸¦ ÇÏ¿´°í ¾ÏÀ¸·Î ³ª¿Ô½À´Ï´Ù. Curative resectionÀÔ´Ï´Ù.


Stomach, endoscopic submucosal dissection:
Early gastric carcinoma
1. Location : antrum, posterior wall
2. Gross type : EGC type IIb+IIa
3. Histologic type : tubular adenocarcinoma, well differentiated
4. Histologic type by Lauren : intestinal
5. Size of carcinoma : (1) longest diameter, 30 mm (2) vertical diameter, 15 mm
6. Depth of invasion : invades mucosa (muscularis mucosa) (pT1a)
7. Resection margin : free from carcinoma(N), safety margin : distal 8 mm, proximal 6 mm, anterior 12 mm, posterior 2 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

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© ÀÏ¿ø³»½Ã°æ±³½Ç ¹Ù¸¥³»½Ã°æ¿¬±¸¼Ò ÀÌÁØÇà. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng.