[Gastric cancer 826. Esophageal cancer after total gastrectomy for remant gastric cancer]
Parasite | Eso | Sto | Cancer | ESD
[Gastric cancer 826. Esophageal cancer after total gastrectomy for remant gastric cancer]
001 | 101 | 201 | 301 | 401 | 501 | 601 | 701 | 801 | 901 | 1000
About 30 years ago, partial gastrectomy was done for the gastirc ulcer. Remnant gastric cancer was found.
Completion total gastectomy with T-colon segmentectomy was done
Stomach and small intestine, total gastrectomy and T-colon segmentectomy:
Status of post-subtotal gastrectomy for gastric ulcer
Advanced gastric carcinoma, Borrmann type III, greater curvature of remnant stomach, adenocarcinoma, well differentiated, intestinal type:
1) tumor size: 8x5 cm
2) extension to subserosa and anastomosing small intestine
3) no endolymphatic tumor emboli
4) no perineurial invasion
5) negative resection margins (proximal, 11.5 cm; distal, 6 cm)
6) metastasis to two out of 18 regional lymph nodes (2/18: lesser curvature, 1/2; greater curvature, 1/4; "8", 0/6; "7, 9", 0/6; "12a", 0/1)
14 years after completion total gastectomy, esophageal cancer was found. Forceps biopsy was well differentiated squamous cell carcinoma.
Definitive CCRT was recommended due to very high opeartive risk.
© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2020-2-2)
