Gastric cancer 1,000. EndoTODAY 이준행

[Gastric cancer 483]

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30대 남성입니다. 점막하암인데 넓었고 림프절 전이가 있었습니다. 외부 사진에서는 궤양이 깊었는데, 의뢰 후 재검 시에는 궤양이 얕았습니다. 투약의 효과라고 생각되었습니다.

Stomach, total gastrectomy:
Early gastric carcinoma
1. Location : [1] middle third [2] upper third, Center at body and lesser curvature
2. Gross type : EGC type IIb+IIc
3. Histologic type : tubular adenocarcinoma, moderately differentiated
4. Histologic type by Lauren : mixed
5. Size : 9x4 cm
6. Depth of invasion : invades submucosa (sm1) (pT1b)
7. Resection margin: free from carcinoma
8. Lymph node metastasis : metastasis to one out of 34 regional lymph nodes (pN1), (perinodal extension: absent) (1/34: "3", 1/4; "4", 0/13; "5", 0/0; "6", 0/5; "7", 0/3; "9", 0/2; "8a", 0/2; "11p", 0/1; "12a", 0/1; "4sb", 0/0; "1", 0/1; "2", 0/2)
9. Lymphatic invasion : present
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. Associated findings : ulceration (UL4)
13. AJCC stage by 7th edition: pT1b N1