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EndoTODAY 내시경 교실


[Gastric cancer 696]

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Single erosion을 보면 늘 암을 의심해야 합니다. 전정부에는 single erosive lesion이 있었고 위체부에는 Helicobacter gastritis가 현저하였습니다. 암이었고 ESD 하였습니다.

(2017, F/60)
Stomach, ESD: Early gastric carcinoma
1. Location : antrum, lesser 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, 10 mm (2) vertical diameter, 6 mm
6. Depth of invasion : invades mucosa (muscularis mucosa) (pT1a)
7. Resection margin : free from carcinoma(N) safety margin : distal 15 mm, proximal 11 mm, anterior 18 mm, posterior 20 mm, deep 150 ㎛
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



© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2018-12-1)