Small fundus EGC. EndoTODAY 이준행

[Gastric cancer 871. Small fundus EGC]

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75 years old male was referred due to a small cancer in the fundus. What's your plan?

At first, repeated endoscopy with biopsy was done. The biopsy result was 'tubular adenocarcinoma, moderately differentiated.'

Surgical consultation was done.

Total gastrectomy; early gastric carcinoma
1. Location : upper third, center at fundus and posterior wall
2. Gross type : EGC type IIc
3. Histologic type : tubular adenocarcinoma, moderately differentiated
4. Histologic type by Lauren : intestinal
5. Size : 1.5x0.8 cm
6. Depth of invasion : invades submucosa (sm2) (pT1b)
7. Resection margin: free from carcinoma, safety margin: proximal 3.5 cm, distal 20.5 cm
8. Lymph node metastasis : no metastasis in 37 regional lymph nodes (pN0) (0/37: "1", 0/2; "2", 0/4; "3", 0/9; "4", 0/3; "4sb", 0/1; "5", 0/4; "6", 0/4; "7", 0/3; "8", 0/2; "8a", 0/1; "9", 0/0; "11p", 0/1; "12a", 0/0; perigastric, 0/3)
9. Lymphatic invasion : not identified
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. AJCC stage by 7th edition: T1b N0