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[Gastric cancer 540 - Would you ESD?]

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Stomach, subtotal gastrectomy:
. Early gastric carcinoma
1. Location : lower third. Center at mid antrum and lesser curvature
2. Gross type : EGC type IIc
3. Histologic type : tubular adenocarcinoma, moderately differentiated >> poorly differentiated (20%)
4. Histologic type by Lauren : mixed
5. Size : 1.4x1.0 cm
6. Depth of invasion : invades submucosa (sm3) (pT1b)
7. Resection margin: free from carcinoma, safety margin: proximal 4.7 cm, distal 2.2 cm
8. Lymph node metastasis : no metastasis in 44 regional lymph nodes (pN0)
9. Lymphatic invasion : present
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. AJCC stage by 7th edition: pT1b N0

º´¸®°á°ú°¡ forceps biopsy¿Í Á¶±Ý ´Ù¸£°Ô ³ª¿Â Á¡ ÀÌ¿Ü¿¡´Â ¿¹»óÇÑ ±×´ë·Î¿´½À´Ï´Ù. °ËÁø¿¡¼­ óÀ½ ³»½Ã°æ ÇϽŠºÐ²²¼­ Àß ÆÇ´ÜÇϼż­ Ä¡·á°¡ ¹° È帣µí ¸Å²öÇÏ°Ô Àß µÇ¾ú´ø °æ¿ìÀÔ´Ï´Ù. °¨»çÇÕ´Ï´Ù.

© ÀÏ¿ø³»½Ã°æ±³½Ç ¹Ù¸¥³»½Ã°æ¿¬±¸¼Ò ÀÌÁØÇà. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2017-10-30)