EndoTODAY | EndoATLAS | OPD

Parasite | Eso | Sto | Cancer | ESD

Boxim | DEX | Sono | Schedule

Home | Recent | Blog | Links


[Gastric cancer 477 - 20170427 ¸ñ¿äÁý´ãȸ]

Previous | Next

001 | 101 | 201 | 301 | 401 | 501 | 601 | 701 | 801 | 901 | 1000



Stomach, total gastrectomy:
Advanced gastric carcinoma
1. Location : entire stomach, Center at body and anterior wall
2. Gross type : Borrmann type 4
3. Histologic type : tubular adenocarcinoma, poorly differentiated
4. Histologic type by Lauren : diffuse
5. Size : 15x13 cm
6. Depth of invasion : invades serosa (pT4a)
7. Resection margin: free from carcinoma, safety margin: proximal 1.5 cm, distal 2 cm
8. Lymph node metastasis : metastasis to 5 out of 50 regional lymph nodes (pN2), (perinodal extension: absent) (5/50: "LN3,5", 0/2; "LN4,6", 2/5; "1", 0/3; "2", 0/4; "4ss", 1/7; "5", 0/1; "6", 0/11; "8a", 0/4; "7", 0/1; "9", 1/2; "11p", 0/1; "12a", 0/3; perigastric, 1/6)
9. Lymphatic invasion : present (++)
10. Venous invasion : not identified
11. Perineural invasion : present
12. Peritoneal cytology : atypical cells
13. AJCC stage by 7th edition: pT4a N2

Fundus¿Í high body´Â ºñ±³Àû extensibility¸¦ À¯ÁöÇÏ°í ÀÖÀ¸³ª À§Ã¼ÇÏºÎ¿Í ±ÙÀ§ ÀüÁ¤ºÎ´Â Àß ÆìÁöÁö ¾Ê°í ±× ºÎÀ§¿¡ ÀÛÀº ±Ë¾ç º´¼Ò°¡ °üÂûµÇ¾ú½À´Ï´Ù. Á¶Á÷°Ë»ç¿¡¼­ ¾ÏÀÌ È®ÀÎµÇ¾î ¼ö¼úÀ» ÇÏ¿´½À´Ï´Ù. ºñ·Ï Á¶Á÷°Ë»ç¿¡¼­ ¾ÏÀÌ È®ÀεÇÁö ¾Ê¾Ò´õ¶óµµ Àû±ØÀûÀÎ ¼ö¼úÀÌ ÇÊ¿äÇÑ °æ¿ì¶ó°í ÆǴܵ˴ϴÙ.

Áý´ãȸ °úÁ¤ Áß ³»½Ã°æ »çÁø¸¸ º¸°í À§¾ÏÀÇ 3Â÷¿øÀû ±¸Á¶¸¦ Àß ÀÌÇØÇÏÁö ¸øÇÑ ºÐµéÀÌ °è¼Å¼­ CT gastrography ¿µ»óÀ» ÀÌ¿ëÇÏ¿© ±×¸²À» ±×·Á º¸¾Ò½À´Ï´Ù. À§ fundus´Â ºñ±³Àû save µÇ¾ú°í, À§Ã¼»óºÎºÎÅÍ ±ÙÀ§ÀüÁ¤ºÎ±îÁö diffuseÇÏ°Ô infiltrationÇÏ´Â ¾ç»óÀÔ´Ï´Ù. À§Ã¼ÁߺκÎÅÍ´Â ÇöÀúÈ÷ Á¼¾ÆÁ® ÀÖ°í ±ÙÀ§ÀüÁ¤ºÎ¿¡¼­´Â °ÅÀÇ ¸·È÷±â Á÷Àü±îÁö °£ »óÅÂÀÔ´Ï´Ù. ¿øÀ§ ÀüÁ¤ºÎ´Â save µÇ¾î ÀÖ½À´Ï´Ù. µû¶ó¼­ Á¼¾ÆÁø ºÎÀ§ ³¡ÀÌ ¸¶Ä¡ pseudo-pyloric ring ºñ½ÁÇÑ ¸ð¾çÀ» ÀÌ·ç°í ÀÖ½À´Ï´Ù.

* Âü°í 1: EndoTODAY º¸¸¸ 4Çü ÁøÇ༺ À§¾Ï

* Âü°í 2: Borrmann type IV AGC. Clin Endosc 2016

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