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[Gastric cancer 845. Lifetime first endoscopy]

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A 59 years old female patient had recurrent vomiting. Lifetime first endoscopy was done and a bizarre lesion was found. There was an obstructing lesion in the antrum, and also a very large superficial lesion was found in the body. It was difficult to make a Borrmann classification. Total gastrectomy was done.


Stomach, total gastrectomy: Advanced gastric carcinoma
1. Location : upper third, middle third and lower third, Center at whole body, anterior and posterior wall, lesser curvature
2. Gross type : Borrmann type 4
3. Histologic type : tubular adenocarcinoma, poorly (solid) differentiated and signet-ring cells
4. Histologic type by Lauren : indeterminate
5. Size : 12.0x11.5 cm
6. Depth of invasion : invades muscularis propria (pT2)
7. Resection margin: free from carcinoma, safety margin: proximal 1.0 cm, distal 0.6 cm
8. Lymph node metastasis : no metastasis in 62 regional lymph nodes (pN0) (0/62: "3", 0/15; "4", 0/14; "5", 0/2; "6", 0/6; "7", 0/6; "9", 0/2; "8a", 0/6; "11p", 0/5; "12a", 0/1; "4sb", 0/3; "1", 0/1; "2", 0/1)
9. Lymphatic invasion : not identified
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. Peritoneal cytology : negative
13. AJCC stage by 8th edition: pT2 N0

The pathologist reported it as a Borrmann type IV cancer, but it is not a typical case.

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© ÀÏ¿ø³»½Ã°æ±³½Ç ¹Ù¸¥³»½Ã°æ¿¬±¸¼Ò ÀÌÁØÇà. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2020-3-23)