[Gastric cancer 811. AGC Borrmann type IV - Three consecutive biopsies were all negative for malignancy.]
Parasite | Eso | Sto | Cancer | ESD
[Gastric cancer 811. AGC Borrmann type IV - Three consecutive biopsies were all negative for malignancy.]
001 | 101 | 201 | 301 | 401 | 501 | 601 | 701 | 801 | 901 | 1000
Biopsies (1) in the national gastric cancer screening program (3 months ago), (2) the recent endoscopy (at local clinic) and (3) repeated biopsy after referral to the cancer center were all negative for malignancy. But, the endoscopic findings were so typical of Borrmann type IV. Surgery was immediately done.
Stomach, total gastrectomy: Advanced gastric carcinoma
1. Location : [1] middle third, [2] upper third, [3] lower third, Center at body and circle
2. Gross type : Borrmann type 4
3. Histologic type : tubular adenocarcinoma, poorly (poorly cohesive) differentiated
4. Histologic type by Lauren : diffuse
5. Size : 18x8.5 cm
6. Depth of invasion : invades adjacent structures/organs (pT4b) (pancreas)
7. Resection margin: involved radial resection margin by carcinoma, safety margin: proximal 1.8 cm, distal 1.5 cm; pancreatic resection margin, 0 cm
8. Lymph node metastasis : no metastasis in 46 regional lymph nodes (pN0)
9. Lymphatic invasion : not identified
10. Venous invasion : not identified
11. Perineural invasion : present
12. Peritoneal cytology : negative
13. AJCC stage by 8th edition: pT4b N0
© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2019-11-25)