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[Gastric cancer 777. Borrmann type II or III]

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I would name it Borrmann type II, but the pathologist said it is a Borrmann type III AGC.


Stomach, subtotal gastrectomy: Advanced gastric carcinoma
1. Location : lower third, Center at antrum and lesser curvature
2. Gross type : Borrmann type 3
3. Histologic type : tubular adenocarcinoma, poorly (poorly cohesive) differentiated >> tubular adenocarcinoma, moderately differentiated (10%) with 1) signet ring cell component 2) extracellular mucin production: 20%
4. Histologic type by Lauren : diffuse
5. Size : 2.8x2 cm
6. Depth of invasion : invades muscularis propria (pT2)
7. Resection margin: free from carcinoma, safety margin: proximal 10 cm, distal 1.5 cm
8. Lymph node metastasis : no metastasis in 18 regional lymph nodes (pN0)
9. Lymphatic invasion : not identified
10. Venous invasion : not identified
11. Perineural invasion : present
12. Peritoneal cytology : negative
13. AJCC stage by 8th edition: pT2 N0



© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2019-8-7)