adenocarcinoma of the distal esophagus with intraabdominal lymph node metastasis. EndoTODAY 이준행

[EsoTODAY 016 - adenocarcinoma of the distal esophagus with intraabdominal lymph node metastasis]

하부 식도 선암은 드뭅니다. 하부 식도암은 종종 intraabdominal lymph node로 전이할 수 있습니다. 이 환자에서는 common hepatic artery node (G1) 전이가 있었습니다.

Esophagus and upper stomach, Ivor Lewis operation:
Adenocarcinoma, moderately differentiated, lower thoracic esophagus (esophagogastric junction) ;
1) tumor size: 2.5x2.5 cm
2) extension to periesophageal soft tissue (adventitia)
3) endolymphatic tumor emboli: not identified
4) perineural invasion: present
5) resection margins: free from carcinoma, safety margin: proximal, 7.5 cm ; distal. 2 cm ;
6) metastasis to 1 out of 21 regional lymph nodes (1/21: "7(subcarinal)" for frozen section-1, 0/6; "Gastric lymph node 1", 1/1; "Gastric lymph node 2", 0/3; "Lt Recurrent Laryngeal Nerve LN", 0/2; "Rt Recurrent Laryngeal Nerve LN", 0/2; periesophageal LN, 0/7)
7) treatment effect: no prior treatment

* 참고: EndoTODAY 식도암 환자의 림프절 명명법

[References]

1) EsoTODAY - Esophageal diseases

2) SmallTODAY - Small bowel diseases

3) ColonTODAY - Colorectal diseases

4) Dr. Sinn's LiverTODAY - Liver diseases