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Multiple synchronous colon cancer입니다. 각각의 심달도는?




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Ascending colon, cecum, appendix and terminal ileum, right hemicolectomy:
Adenocarcinoma, well differentiated with mucin production (about 10 %)
1. Location: ascending colon
2. Gross type: ulcerofungating
3. Size: 3x2.3 cm
4. Depth of invasion: invades pericolic adipose tissue (pT3) (distance from nearest serosa: about 0.3 mm (300 ㎛))
5. Resection margin: free from carcinoma, safety margin: proximal, 11 cm ; distal, 21 cm ; radial, >10.0 mm
6. Regional lymph node metastasis : no metastasis in all 13 regional lymph nodes(pN0) (0/13: pericolic, 0/13)
7. Lymphatic invasion: not identified
8. Venous invasion: not identified
9. Perineural invasion: not identified
10. Tumor budding : negative

Sigmoid colon, anterior resection:
Adenocarcinoma, moderately differentiated
1. Location: sigmoid colon
2. Gross type: ulcerofungating
3. Size: 5x4 cm
4. Depth of invasion: invades pericolic adipose tissue (pT3), (distance from nearest serosa: about >5.0 mm)
5. Resection margin: free from carcinoma, safety margin: opposite, 4 cm ; nearest, 1.5 cm ; radial, >10.0 mm
6. Regional lymph node metastasis: no metastasis in all 12 regional lymph nodes(pN0), (0/12: pericolic, 0/11; right pelvic LN, 0/1)
7. Lymphatic invasion: not identified
8. Venous invasion: not identified
9. Perineural invasion: not identified
10. Tumor budding : negative


[References]

1) EsoTODAY - Esophageal diseases

2) SmallTODAY - Small bowel diseases

3) ColonTODAY - Colorectal diseases

© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng.