[Gastric cancer 788. EGC at cardia]
Parasite | Eso | Sto | Cancer | ESD
[Gastric cancer 788. EGC at cardia]
001 | 101 | 201 | 301 | 401 | 501 | 601 | 701 | 801 | 901 | 1000
EGC at the cardia is easy to miss.
In this case, cardia cancer was detected 10 seconds after passing the throat.
Laparoscopic total gastrectomy was done.
Stomach, radical total gastrectomy: Early gastric carcinoma
1. Location : upper third, Center at cardia (Siewert II) and lesser 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 1.0 cm, distal 12.0 cm
8. Lymph node metastasis : no metastasis in 78 regional lymph nodes (pN0)
9. Lymphatic invasion : present
10. Venous invasion : not identified
11. Perineural invasion : not identified
We need to keep concentrated during the whole procedure.
© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2019-9-2)
