EndoTODAY 내시경 교실
Parasite | Eso | Sto | Cancer | ESD
[Gastric cancer 879. AGC B-2]
001 | 101 | 201 | 301 | 401 | 501 | 601 | 701 | 801 | 901 | 1000
A typical AGC B-2, but the pathology result is very aggressive
Stomach, subtotal gastrectomy: Advanced gastric carcinoma
1. Location : lower third, Center at antrum and anterior wall
2. Gross type : Borrmann type 2
3. Histologic type : papillary adenocarcinoma, moderately differentiated with focal hepatoid differentiation (40%)
4. Histologic type by Lauren : intestinal
5. Size : 3.5x3.5 cm
6. Depth of invasion : penetrates subserosal connective tissue (pT3)
7. Resection margin: free from carcinoma, safety margin: proximal 4 cm, distal 1.5 cm
8. Lymph node metastasis : metastasis to 8 out of 38 regional lymph nodes (pN3a) (perinodal extension: present) (8/38: "3", 1/9; "4", 5/12; "5", 0/0; "6", 1/7; "7", 0/3; "9", 0/4; "8a", 1/1; "11p", 0/0; "12a", 0/0; "4sb", 0/1; "1", 0/1)
9. Lymphatic invasion : present
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. Peritoneal cytology : negative
13. AJCC stage by 8th edition: pT3 N3a
© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2020-8-31)