[Gastric cancer 609]
Parasite | Eso | Sto | Cancer | ESD
[Gastric cancer 609]
001 | 101 | 201 | 301 | 401 | 501 | 601 | 701 | 801 | 901 | 1000
조기위암 내시경 치료 후 경과관찰 중 우연히 여러 질병이 발견됩니다. CT에서 담낭암 의심소견이 발견되어 EUS 검사 후 수술을 받으신 분입니다. Laparoscopic cholecystectomy로 치료받고 4년 이상 되었는데 재발없이 잘 지내고 계십니다. 참 다행스러운 일이 아닐 수 없습니다. 영상의학과 선생님들께 감사드립니다.
ESD: Early gastric carcinoma
1. Location : antrum, posterogreater curvature
2. Gross type : EGC type IIc
3. Histologic type : tubular adenocarcinoma, moderately differentiated
4. Histologic type by Lauren : intestinal
5. Size of carcinoma : (1) longest diameter, 8 mm (2) vertical diameter, 3 mm
6. Depth of invasion : invades mucosa (lamina propria) (pT1a)
7. Resection margin : free from carcinoma(N), safety margin : distal 16 mm, proximal 12 mm, anterior 12 mm, posterior 16 mm
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: absentLaparoscopic cholecystectomy: GALLBLADDER CANCER arising from flat dysplasia
(1) Histologic type: Adenocarcinoma
(2) Histologic grade: G1 (well differentiated)
(3) Invasive carcinoma arising from adenoma
(4) Precursor lesion: flat dysplasia
(5) T1a: Tumor invades lamina propria
(6) Involvement of large vessel: not assessable
(7) Nx: Regional lymph node cannot be accessed
(8) M0: No distant metastasis
(9) Cystic duct margin: negative
(10) Perineural and neural invasion: not identified
(11) Lymphovascular invasion: not identified
(12) Involvement of Rokitansky-Ascoff Sinus by high-grade BilIN: absent
© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng.