Guessing the size. EndoTODAY

[Gastric cancer 832. AGC Borrmann type IV involving the whole stomach]

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This case is an AGC Borrmann type IV involving the whole stomach. The antrum, which looks OK in endoscopy, was also mostly involved.

Stomach, total gastrectomy: Advanced gastric carcinoma
1. Location : [1] middle third, [2] upper third, [3] lower third, [4] duodenum, Center at body and greater curvature
2. Gross type : Borrmann type 4
3. Histologic type : tubular adenocarcinoma, poorly (poorly cohesive) differentiated
4. Histologic type by Lauren : diffuse
5. Size : 16x14 cm
6. Depth of invasion : penetrates subserosal connective tissue (pT3)
7. Resection margin: free from carcinoma, safety margin: proximal 1 cm, distal 1 cm
8. Lymph node metastasis : metastasis to 28 out of 44regional lymph nodes (pN3b) (perinodal extension: absent) (28/44: "3,5", 7/8; "4,6", 9/9; "2", 4/4; "5", 0/0; "6", 0/5; "7", 0/4; "9", 3/3; "8a", 1/4; "11p", 0/0; "12a", 0/0; "4sb", 1/1; "1", 1/2; "10", 0/1; "11d", 0/1; perigastric, 2/2)
9. Lymphatic invasion : present
10. Venous invasion : not identified
11. Perineural invasion : present
12. AJCC stage by 8th edition: pT3 N3b