[Gastric cancer 589]
Parasite | Eso | Sto | Cancer | ESD
[Gastric cancer 589]
001 | 101 | 201 | 301 | 401 | 501 | 601 | 701 | 801 | 901 | 1000
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.