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[Gastric cancer 568 - EGC at difficult location]

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ESD 시작한지 15년인데 하면 할수록 더 어려워집니다. 쉬운 것들은 가까운 의료기관에서 치료하고 어려운 것들 위주로 의뢰되기 때문이 아닌가 생각합니다. 머리, 어깨, 팔, 다리, 눈, 손까지 안 아픈데가 없습니다. 아이고... 삭신이야...


Stomach, LC of fundus, ESD:
.Early gastric carcinoma
1. Location : fundus, lesser curvature
2. Gross type : EGC type IIb
3. Histologic type : tubular adenocarcinoma, moderately differentiated
4. Histologic type by Lauren : intestinal
5. Size of carcinoma : (1) longest diameter, 14 mm (2) vertical diameter, 9 mm
6. Depth of invasion : invades mucosa (muscularis mucosa) (pT1a)
7. Resection margin : free from carcinoma(N). safety margin : distal 5 mm, proximal 6 mm, anterior 12 mm, posterior 6 mm, deep 850 ㎛
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.