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[Gastric cancer 510]

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Stomach, subtotal gastrectomy:
Advanced gastric carcinoma
1. Location : [1] lower third, [2] duodenum, Center at antrum and lesser curvature, anterior wall
2. Gross type : Borrmann type 2
3. Histologic type : mucinous adenocarcinoma (mucinous carcinoma portion: 100%)
4. Histologic type by Lauren : diffuse
5. Size : 4.5x4 cm
6. Depth of invasion : subserosal connective tissue (pT3)
7. Resection margin: free from carcinoma; safety margin: proximal 4.5 cm, distal 1.5 cm
8. Lymph node metastasis : metastasis to 9 out of 38 regional lymph nodes (pN3a), (perinodal extension: present) (9/38: "3", 2/8; "4", 0/4; "5", 3/4; "6", 2/5; "7", 0/5; "9", 1/1; "8a", 0/8; "11p", 0/0; "12a", 1/1; "4sb", 0/1; "1", 0/0; "12p", 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: pT3 N3a

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