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[Gastric cancer 553 - Single erosion]

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2015년 증례입니다. 60대 중반 여성이었습니다.

Single erosion으로 forceps biopsy에서 adenoma with HGD로 나와 의뢰되었습니다. ESD를 하였고 암으로 나왔습니다. Single erosion은 늘 종양성 질환의 가능성을 고려해야 합니다.

Anterior wall of proximal antrum, ESD:
. Early gastric carcinoma
1. Location : proximal antrum, anterior wall
2. Gross type : EGC type IIc
3. Histologic type : tubular adenocarcinoma, well differentiated
4. Histologic type by Lauren : intestinal
5. Size of carcinoma : (1) longest diameter, 6 mm (2) vertical diameter, 4 mm
6. Depth of invasion : invades mucosa (lamina propria) (pT1a)
7. Resection margin : free from carcinoma(N); safety margin : distal 7 mm, proximal 8 mm, anterior 10 mm, posterior 10 mm, deep 1800 ㎛
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

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