[Gastric cancer 862. Remnant cancer (9.3x2.2cm)]
Parasite | Eso | Sto | Cancer | ESD
[Gastric cancer 862. Remnant cancer (9.3x2.2cm)]
001 | 101 | 201 | 301 | 401 | 501 | 601 | 701 | 801 | 901 | 1000
40 years after partial gastrectomy for peptic ulcer bleeding, a 2cm sized nodular lesion was found in the anastomosis site (biopsy: M/D adenocarcinoma). Completion total gastrectomy was done.
Completion total gastrectomy: EGC
1. Location : middle third, center at body and anterior wall
2. Gross type : EGC type IIb+IIa
3. Histologic type : tubular adenocarcinoma, moderately differentiated
4. Histologic type by Lauren : intestinal
5. Size : 9.3x2.2 cm
6. Depth of invasion : invades mucosa (muscularis mucosa) (pT1a)
7. Resection margin: free from carcinoma, safety margin: proximal 6.2 cm, distal 10.5 cm
8. Lymph node metastasis : no metastasis in 29 regional lymph nodes (pN0)
9. Lymphatic invasion : not identified
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. Associated findings : gastritis cystica profunda
It was a long and slender cancer along the anastomosis.
© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2020-5-31)