Gastric cancer. EndoTODAY

[Gastric cancer 783. A small EGC incidentally found in abdominal CT after colon cancer surgery]

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In clinical practice, CT is usually done after endoscopy. The EGC lesion can be found or suspected in CT based on endoscopic findings. Without prior endoscopic diagnosis, EGC is very difficult to find in CT.

In follow up abdominal CT after colon cancer surgery, a subtle mucosal enhancement and ulceration was found in CT. Endoscopy showed a flat elevated type EGC in that location. Surgery was done.

Stomach, radical subtotal gastrectomy: Early gastric carcinoma
1. Location : middle third, Center at lower body and greater curvature
2. Gross type : EGC type IIb+IIc
3. Histologic type : tubular adenocarcinoma, mixed moderately and poorly (solid) differentiated
4. Histologic type by Lauren : mixed
5. Size : 2.5x2.0 cm
6. Depth of invasion : invades submucosa (sm3) (pT1b)
7. Resection margin: free from carcinoma, safety margin: proximal 10.0 cm, distal 9.5 cm
8. Lymph node metastasis : no metastasis in 24 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: pT1b N0

It is happy to work with an excellent radiologist.

정말 운이 좋은 환자입니다. 영상의학과 선생님이 너무나 고마워 감사의 편지를 써 보냈습니다. 대장암 초기 치료가 끝나면 위암 내시경을 해 보고, 위암 초기 치료가 끝나면 대장암 내시경을 해 보는 것이 서로 좋겠습니다. 대장암 초진 때 위내시경을 하고, 위암 초진 때 대장내시경을 하자고 주장도 있는데 충분히 고려해 볼만하다고 생각합니다.