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[Gastric cancer 591]

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Refractory ulcer로 의뢰된 분입니다. Refractory ulcer 중 상당수는 위암입니다.

Stomach, total gastrectomy: Early gastric carcinoma
1. Location : upper third, Center at cardia and lesser curvature
2. Gross type : EGC type IIc
3. Histologic type : tubular adenocarcinoma, poorly (solid) differentiated
4. Histologic type by Lauren : diffuse
5. Size : 2.8x1.1 cm
6. Depth of invasion : invades submucosa (sm1) (pT1b)
7. Resection margin: free from carcinoma, safety margin: proximal 0.4 cm, distal 16.3 cm
8. Lymph node metastasis : no metastasis in 35 regional lymph nodes (pN0)
9. Lymphatic invasion : not identified
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. Associated findings : gastritis cystica profunda
13. Peritoneal cytology : negative
14. AJCC stage by 8th edition: pT1b N0

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