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[Gastric cancer 691 - HNPCC ȯÀÚ¿¡¼­ ¿ì¿¬È÷ ¹ß°ßµÈ À§¾Ï]

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10¿©³â Àü ´ëÀå¾ÏÀ¸·Î ¼ö¼úÀ» ¹ÞÀ¸½Å HNPCC ȯÀÚ°¡ À§¾ÏÀÌ ¹ß°ßµÇ¾î ÀǷڵǾú½À´Ï´Ù. ÀϹÝÀûÀÎ ESD ÀûÀÀÁõ¿¡ ÇØ´çÇÏ¿© ½Ã¼úÀ» ÇÏ¿´°í ¾Æ·¡¿Í °°Àº °á°ú¿´½À´Ï´Ù.


ESD: Early gastric carcinoma ;
1. Location : angle, posterior wall
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, 18 mm (2) vertical diameter, 12 mm
6. Depth of invasion : invades mucosa (muscularis mucosa) (pT1a)
7. Resection margin : free from carcinoma(N), safety margin : distal 12 mm, proximal 11 mm, anterior 14 mm, posterior 12 mm, deep 600 §­
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: absent

ÀϹÝÀûÀÎ HNPCC surveillance¸¦ ÇϽõµ·Ï ±ÇÇÏ¿´°í, À§¾Ï ESD ÈÄ ÃßÀû°üÂûÀº ´Ù¸¥ ȯÀÚ¿Í ºñ½ÁÇÏ°Ô ÇÏ·Á°í ÇÕ´Ï´Ù.

* Âü°í: EndoTODAY HNPCC

© ÀÏ¿ø³»½Ã°æ±³½Ç ¹Ù¸¥³»½Ã°æ¿¬±¸¼Ò ÀÌÁØÇà. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2018-11-9)