[Gastric cancer 856. atypical gland in the elderly]
Parasite | Eso | Sto | Cancer | ESD
[Gastric cancer 856. atypical gland in the elderly]
001 | 101 | 201 | 301 | 401 | 501 | 601 | 701 | 801 | 901 | 1000
An old gentlemen was refered due to atypical glands. Repeated biopsy showed M/D adenocarcinoma. ESD was done.
ESD: Early gastric carcinoma
1. Location : antrum, lesser curvature
2. Gross type : EGC type IIa
3. Histologic type : tubular adenocarcinoma, moderately differentiated > poorly differentiated (15%)
4. Histologic type by Lauren : intestinal
5. Size of carcinoma : (1) longest diameter, 40 mm (2) vertical diameter, 20 mm
6. Depth of invasion : invades submucosa (depth of sm invasion : 1800 ㎛) (pT1b)
7. Resection margin : involvement of deep resection margin by carcinoma, safety margin : distal 9 mm, proximal 2 mm, anterior 2 mm, posterior 10 mm, deep 0 ㎛
8. Lymphatic invasion : present (++)
9. Venous invasion : not identified(N)
10. Perineural invasion : not identified(N)
11. Microscopic ulcer : absent
12. Histologic heterogeneity: present
Surgical consultation was done.
Atypical glands should be very carefully approached.
© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2020-5-8)