EndoTODAY | EndoATLAS | OPD

Parasite | Eso | Sto | Cancer | ESD

Boxim | DEX | Sono | Schedule

Home | Recent | Blog | Links


[Gastric cancer 752 - EGC]

Previous | Next

001 | 101 | 201 | 301 | 401 | 501 | 601 | 701 | 801 | 901 | 1000


Early gastric cancer was found in screening endoscopy (female 60, year 2018). Endoscopic resection was done but the final pathology was deep SM tumor with lymphatic/venous invasion. Deep resection margin was also positive probably due to cauterization artifact.

ESD: Early gastric carcinoma
1. Location : antrum, lesser curvature, posterior wall
2. Gross type : EGC type IIb
3. Histologic type : tubular adenocarcinoma, moderately differentiated (clear cell type)
4. Histologic type by Lauren : intestinal
5. Size of carcinoma : (1) longest diameter, 12 mm (2) vertical diameter, 7 mm
6. Depth of invasion : invades submucosa, (depth of sm invasion : 2000 ㎛) (pT1b)
7. Resection margin : involved deep resection margin by carcinoma with cauterized artifact, free from carcinoma(N), safety margin : distal 11 mm, proximal 13 mm, anterior 14 mm, posterior 10 mm, deep 0 ㎛
8. Lymphatic invasion : present
9. Venous invasion : present
10. Perineural invasion : not identified(N)
11. Microscopic ulcer : absent
12. Histologic heterogeneity: absent



© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2019-5-15)