위암. EndoTODAY 이준행

[Gastric cancer 702 - pleuroparenchymal fibroelastosis]

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위암 환자의 수술 전 검사에서 결핵 의심 병소가 보였습니다.

반복적 객담 검사에서 결핵균이 나오지 않고 CT에서도 다음 소견이라 일단 폐 부분은 경과관찰을 하기로 하고 수술을 하였습니다. "Subpleural consolidative lesions containing bronchiolectasis, distributed to both lung apices, with a near symmetric fashion, suggesting the possibility of pleuroparenchymal fibroelastosis (a rare form of idiopathic interstitial pneumonia), rather than tuberculosis"

수술 결과는 아래와 같았습니다.

Stomach, subtotal gastrectomy: Early gastric carcinoma
1. Location : middle third, Center at body and anterior wall
2. Gross type : EGC type IIc
3. Histologic type : tubular adenocarcinoma, poorly (poorly cohesive) differentiated
4. Histologic type by Lauren : diffuse
5. Size : 1x0.7 cm
6. Depth of invasion : invades mucosa (lamina propria) (pT1a)
7. Resection margin: free from carcinoma, safety margin: proximal 2.5 cm, distal 7 cm
8. Lymph node metastasis : no metastasis in 31 regional lymph nodes (pN0)
9. Lymphatic invasion : not identified
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. Peritoneal cytology : negative
13. AJCC stage by 8th edition: pT1a N0