An EGC. EndoTODAY 이준행

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

I recommended surgery.

Stomach, radical total gastrectomy: Early gastric carcinoma
1. Location : [1] upper third, Center at body, anterior wall
2. Gross type : EGC type IIc
3. Histologic type : tubular adenocarcinoma, moderately differentiated
4. Histologic type by Lauren : intestinal
5. Size : 2.9x2.2cm
6. Depth of invasion : invades submucosa (sm1) (pT1b)
7. Resection margin: free from carcinoma, safety margin: proximal 2.7cm, distal 11.6cm
8. Lymph node metastasis : no metastasis in 32 regional lymph nodes (pN0) (0/32: "3,5", 0/11; "4,6", 0/7; "2", 0/2; "5", 0/0; "6", 0/2; "7", 0/2; "9", 0/1; "8a", 0/1; "11p", 0/4; "12a", 0/2; "4sb", 0/0; "1", 0/0)
9. Lymphatic invasion : not identified
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. AJCC stage by 8th edition: pT1b N0