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EndoTODAY 내시경 교실

[Gastric cancer 886. EG junction cancer]

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EG junction cancer may be deeper than its shape.

Stomach, radical total gastrectomy : Advanced gastric carcinoma
1. Location : [2] esophagus, [1] upper third, Center at cardia (Siewert II)
2. Gross type : Borrmann type unclassifiable (mimicking EGC type IIa+IIc)
3. Histologic type : mucinous adenocarcinoma (mucinous carcinoma portion: 80%)
4. Histologic type by Lauren : intestinal
5. Size : 2.3x1.7 cm
6. Depth of invasion : invades muscularis propria (pT2) (see note)
7. Resection margin: free from carcinoma, safety margin: proximal 0.3 cm, distal 21 cm
8. Lymph node metastasis : no metastasis in 31 regional lymph nodes (pN0)
9. Lymphatic invasion : present (++)
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. AJCC stage by 8th edition: pT2 N0

© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2020-10-5)