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[Gastric cancer 558 - 위암 + anisakis]

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경계가 불분명한 위암으로 의뢰되신 분인데, 내시경 검사에서 우연히 anisakis가 발견되어 제거하였습니다. 2일 전에 회를 드셨다고 합니다.

Stomach, total gastrectomy:
. Early gastric carcinoma
1. Location : [2] upper third, [1] middle third, Center at body and lesser curvature
2. Gross type : EGC type IIb+IIc
3. Histologic type : tubular adenocarcinoma, moderately differentiated
4. Histologic type by Lauren : intestinal
5. Size : 10x7 cm
6. Depth of invasion : invades submucosa (sm3) (pT1b)
7. Resection margin: free from carcinoma, safety margin: proximal 2.5 cm, distal 8.5 cm
8. Lymph node metastasis : no metastasis in 57 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

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