Gastric cancer. EndoTODAY

[Gastric cancer 819. Borrmann classification is not perfect.]

001 | 101 | 201 | 301 | 401 | 501 | 601 | 701 | 801 | 901 | 1000

The final pathological diagnosis was Borrmann type 4, but it is quite different from the usual Borrmann type 4. The Borrmann classification is not perfect.

Stomach, radical total gastrectomy: Advanced gastric carcinoma
1. Location : upper third, Center at high body and posterior wall
2. Gross type : Borrmann type 4
3. Histologic type : tubular adenocarcinoma, moderately differentiated
4. Histologic type by Lauren : intestinal
5. Size : 8.5x6.8 cm
6. Depth of invasion : penetrates subserosal connective tissue (pT3)
7. Resection margin: free from carcinoma, safety margin: proximal 0.5 cm, distal 12.3 cm
8. Lymph node metastasis : metastasis to 1 out of 63 regional lymph nodes (pN1), (perinodal extension: absent)(1/63: "2", 0/3; "3", 1/11; "4", 0/14; "5", 0/3; "6", 0/3; "7", 0/4; "9", 0/1; "8a", 0/3; "11p", 0/13; "12a", 0/1; "4sb", 0/2; "1", 0/5)
9. Lymphatic invasion : present
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. Peritoneal cytology : negative
13. AJCC stage by 8th edition: pT3 N1

The contrast setting of the left image is too strong. Enhancement/contrast should be adjusted.