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[Gastric cancer 589]

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Cardia의 위암은 resection margin을 충분히 확보하기 어려우므로 내시경 치료와 수술 중 어느 것을 택해야 할지 늘 고민입니다. 환자와 충분히 상의하고 있습니다. 이 환자는 ESD를 하였습니다.


ESD: Early gastric carcinoma
1. Location : cardia
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, 16 mm (2) vertical diameter, 13 mm
6. Depth of invasion : invades mucosa (muscularis mucosa) (pT1a)
7. Resection margin : free from carcinoma(N) safety margin : distal 5 mm, proximal 1.5 mm, anterior 10 mm, posterior 4 mm, deep 1700 ㎛
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
13. Associated finding: gastritis cystica profunda



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