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[Gastric cancer 494]

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EBV-associated gastric cancer가 나왔고 수술이 필요하였습니다.

Early gastric carcinoma
1. Location : body, postero greater curvature
2. Gross type : EGC type IIb
3. Histologic type : tubular adenocarcinoma, moderately differentiated (EBV-positive)
4. Histologic type by Lauren : intestinal
5. Size of carcinoma : (1) longest diameter, 34 mm (2) vertical diameter, 29 mm
6. Depth of invasion : invades submucosa, (depth of sm invasion : 600 ㎛) (pT1b)
7. Resection margin : free from carcinoma(N), safety margin : distal 3 mm, proximal 200 ㎛, anterior 4 mm, posterior 2 mm, deep 100 ㎛ (sm only)
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
13. in situ hybridization: Epstein-Barr virus : Positive ( CLR, Crohn's-like reaction )

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