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[Gastric cancer 684]

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(2015)
Subtotal gastrectomy: Advanced gastric carcinoma
1. Location : middle third, Center at body and posterior wall
2. Gross type : Borrmann type 3
3. Histologic type : tubular adenocarcinoma, poorly (poorly cohesive) differentiated
4. Histologic type by Lauren : diffuse
5. Size : 2x1.8 cm
6. Depth of invasion : invades serosa (pT4a)
7. Resection margin: free from carcinoma, safety margin: proximal 1 cm, distal 9.3 cm
8. Lymph node metastasis : no metastasis in 43 regional lymph nodes (pN0) (0/43: "3", 0/13; "4", 0/11; "5", 0/0; "6", 0/5; "7", 0/1; "9", 0/2; "8a", 0/3; "11p", 0/2; "12a", 0/1; "4sb", 0/1; "1", 0/4)
9. Lymphatic invasion : not identified
10. Venous invasion : not identified
11. Perineural invasion : present
12. Peritoneal cytology : negative
13. AJCC stage by 7th edition: pT4a N0

1년 후 문합부의 재발암이 발견되었습니다. 안타깝게도 peritoneal seeding이 있었습니다.

(2016)



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