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[Gastric cancer 551 - 융기형 위암의 침윤 깊이 진단]

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융기형 위암의 침윤 깊이 진단은 매우 어렵습니다. 한 임상강사 선생님이 결과지에 AGC 같다고 쓰셨길래 제가 EGC 같다고 comment 했습니다. 결과는 아슬아슬했습니다. 늘 어렵습니다.

Stomach, total gastrectomy:
. Early gastric carcinoma
1. Location : upper third Center at high body and posterior wall
2. Gross type : EGC type IIa
3. Histologic type : tubular adenocarcinoma, well differentiated
4. Histologic type by Lauren : intestinal
5. Size : 3.6x2.4 cm
6. Depth of invasion : invades submucosa (sm3) (pT1b)
7. Resection margin: free from carcinoma, safety margin: proximal 1.3 cm, distal 13 cm
8. Lymph node metastasis : no metastasis in 52 regional lymph nodes (pN0)
9. Lymphatic invasion : not identified
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. Associated findings : gastritis cystica profunda
13. Peritoneal cytology : negative
14. AJCC stage by 7th edition: pT1b N0

© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2017-11-22)