[Gastric cancer 657 - Remnant gastric cancer]
Parasite | Eso | Sto | Cancer | ESD
[Gastric cancer 657 - Remnant gastric cancer]
001 | 101 | 201 | 301 | 401 | 501 | 601 | 701 | 801 | 901 | 1000
40 years aog, subtotal gastrectomy was done due to peptic ulcer disease. In the screening endoscopy, a mass was found and initial pathology was 'atypical glands with high grade dysplasia, highly suggestive of tubular adenocarcinoma'. Surgical rection was done.
Completion total gastrectomy: Advanced gastric carcinoma (arising in an villotubular adenoma)
1. Location : Center at anastomosis site body and lesser curvature
2. Gross type : Borrmann type 3
3. Histologic type : mucinous adenocarcinoma (mucinous carcinoma portion: 60 %)
4. Histologic type by Lauren : intestinal
5. Size : 4.5x4 cm
6. Depth of invasion : penetrates subserosal connective tissue (pT3)
7. Resection margin: free from carcinoma
8. Lymph node metastasis : no metastasis
9. Lymphatic invasion with D2-40 immunohistochemistry : not identified
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. Peritoneal cytology : negative
13. AJCC stage by 8th edition: pT3 N0
© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng.