[Gastric cancer 799. EGC with blurred margin and shallow depression. Would you recommend surgery or endoscopic treatment?]
Parasite | Eso | Sto | Cancer | ESD
[Gastric cancer 799. EGC with blurred margin and shallow depression. Would you recommend surgery or endoscopic treatment?]
001 | 101 | 201 | 301 | 401 | 501 | 601 | 701 | 801 | 901 | 1000
An EGC was found in a screening endoscopy for a 60 years old male patient. It was a 2cm sized flat depressed lesion with friability, and the border was slightly blurred. Surgery was recommended at the local hospital.
He visited my clinic and said he want an endoscopic resection. In the repeated endoscopy, the lesion was shallow ulcerative type and the histology was moderately differentiated adenocarcinoma.. Based on the location, blurred margin and the shape (suggesting SM cancer), I recommended surgery.
The final pathology was submucosal cancer.
Stomach, radical total gastrectomy: Early gastric carcinoma
1. Location : upper third, Center at cardia (Siewert III)
2. Gross type : EGC type IIc
3. Histologic type : tubular adenocarcinoma, moderately differentiated
4. Histologic type by Lauren : intestinal
5. Size : 2.0x1.5 cm
6. Depth of invasion : invades submucosa (sm1) (pT1b)
7. Resection margin: free from carcinoma, safety margin: proximal 2.5 cm, distal 15.5 cm
8. Lymph node metastasis : no metastasis in 52 regional lymph nodes (pN0)
9. Lymphatic invasion : not identified
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. AJCC stage by 8th edition: pT1b N0
© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2019-10-3)
