[Gastric cancer 644 - Borrmann type 4 of the fundus]
Parasite | Eso | Sto | Cancer | ESD
[Gastric cancer 644 - Borrmann type 4 of the fundus]
001 | 101 | 201 | 301 | 401 | 501 | 601 | 701 | 801 | 901 | 1000
Borrmann type IV of the fundus (only fundus) is rare and difficult to differentiate from lymphoma.
무증상 성인의 검진 내시경에서 fundus에서 주름이 찌글찌글하게 뭉쳐있고 두꺼워진 소견이 발견되었습니다. 근접하여 관찰하면 작은 궤양도 있었습니다. 조직검사에서 poorly cohesive carcinoma가 나왔으면 수술을 하였고 병리과에서는 보만 4형으로 분류하였습니다.
Stomach, radical total gastrectomy: Advanced gastric carcinoma
1. Location : [1] upper third, Center at fundus and posterior wall
2. Gross type : Borrmann type 4
3. Histologic type : tubular adenocarcinoma, poorly (poorly cohesive) differentiated
4. Histologic type by Lauren : diffuse
5. Size : 5x4 cm
6. Depth of invasion : penetrates subserosal connective tissue (pT3)
7. Resection margin: free from carcinoma, safety margin: proximal 2 cm, distal 18 cm
8. Lymph node metastasis : no metastasis in 36 regional lymph nodes (pN0) (0/36: "2", 0/5; "3", 0/2; "4", 0/13; "5", 0/1; "6", 0/2; "7", 0/3; "9", 0/5; "8a", 0/2; "11p", 0/1; "12a", 0/2; "4sb", 0/0; "1", 0/0)
9. Lymphatic invasion : not identified
10. Venous invasion : not identified
11. Perineural invasion : present
12. AJCC stage by 8th edition: pT3 N0
© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2018-7-19)