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[Gastric cancer 515]

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AGC 보만 1형이나 EGC 1형의 심달도 예측은 쉽지 않습니다.

PM cancer였습니다.


Advanced gastric carcinoma
1. Location : middle third, Center at body and lesser curvature, anterior wall
2. Gross type : Borrmann type 1
3. Histologic type : tubular adenocarcinoma, moderately differentiated
4. Histologic type by Lauren : intestinal
5. Size : 7.0x6.5 cm
6. Depth of invasion : invades muscularis propria (pT2)
7. Resection margin: free from carcinoma, safety margin: proximal 5.5 cm, distal 9.3 cm
8. Lymph node metastasis : metastasis to 7 out of 78 regional lymph nodes (pN3a) (perinodal extension: present / absent) (7/78 : "2", 0/8; "3", 0/13; "4", 5/8; "5", 0/1; "6", 1/2; "7", 1/2; "9", 0/4; "8a", 0/14; "11p", 0/8; "12a", 0/4; "4sb", 0/5; "1", 0/1; "11d", 0/8; "10", 0/0)
9. Lymphatic invasion : present
10. Venous invasion : present(intra- and extramural)
11. Perineural invasion : not identified
12. Peritoneal cytology : negative
13. AJCC stage by 7th edition: pT2 N3a

Deep SM cancer였습니다.


Early gastric carcinoma
1. Location : lower third, Center at antrum and lesser curvature
2. Gross type : EGC type I
3. Histologic type : papillary adenocarcinoma, moderately differentiated
4. Histologic type by Lauren : intestinal
5. Size : 6.5x5 cm
6. Depth of invasion : invades submucosa (sm3) (pT1b)
7. Resection margin: free from carcinoma, safety margin: proximal 3.5 cm, distal 3.2 cm
8. Lymph node metastasis : metastasis to one out of 38 regional lymph nodes (pN1), (perinodal extension: absent) (1/38: "1", 0/0; "3", 0/10; "4", 0/7; "4sb", 0/0; "5", 1/2; "6", 0/6; "7", 0/4; "8a", 0/4; "9", 0/1; "11p", 0/3; "12a", 0/1)
9. Lymphatic invasion : present
10. Venous invasion : present(intramural)
11. Perineural invasion : not identified
12. Peritoneal cytology : negative
13. AJCC stage by 7th edition: T1b N1



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