EndoTODAY 내시경 교실
Parasite | Eso | Sto | Cancer | ESD
[Gastric cancer 875. EBV-associated EGC]
001 | 101 | 201 | 301 | 401 | 501 | 601 | 701 | 801 | 901 | 1000
Would you try ESD? (Bx: moderately differentiated adenocarcinoma)
Left: initial EGD, right: repeated EGD after referral
After a detailed discussion, the patient chose ESD.
Final pathology was ...
ESD: Early gastric carcinoma
1. Location : body, anterior wall
2. Gross type : EGC type IIc
3. Histologic type : tubular adenocarcinoma, moderately differentiated, EBV-associated
4. Histologic type by Lauren : intestinal
5. Size of carcinoma : (1) longest diameter, 14 mm (2) vertical diameter, 12 mm
6. Depth of invasion : invades mucosa (muscularis mucosa) (pT1a)
7. Resection margin : free from carcinoma(N) safety margin : distal 7 mm, proximal 3 mm, anterior 12 mm, posterior 6 mm, deep 2000 ㎛
8. Lymphatic invasion : not identified(N)
9. Venous invasion : not identified(N)
10. Perineural invasion : not identified(N)
11. Microscopic ulcer : absent
12. Histologic heterogeneity: absent
Result of in situ hybridization: EBV : Positive (CLR, Crohn's-like reaction)
* 참고: EndoTODAY EBV-associated gastric cancer
© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2020-8-2)
