EndoTODAY 내시경 교실
Beginner | ESA | Schedule | OPD
Seminars | Atlas | Recent | Links
[Gastric cancer 900. EGC IIa]
001 | 101 | 201 | 301 | 401 | 501 | 601 | 701 | 801 | 901 | 1000
조직검사에서 atypical glands with high grade dysplasia, suggestive of tubular adenocarcinoma로 나왔습니다. 어떻게 하시겠습니까?
육안소견 의거 과감하게 암으로 진단을 붙이고 수술을 의뢰했습니다.
Stomach, radical subtotal gastrectomy: Early gastric carcinoma
1. Location : lower third, Center at distal antrum and anterior wall
2. Gross type : EGC type IIa
3. Histologic type : tubular adenocarcinoma, moderately differentiated
4. Histologic type by Lauren : intestinal
5. Size : 1.5x1.5 cm
6. Depth of invasion : invades submucosa (sm3) (pT1b)
7. Resection margin: free from carcinoma, safety margin: proximal 9.8 cm, distal 0.6 cm
8. Lymph node metastasis : no metastasis in 43 regional lymph nodes (pN0) (0/43: "3.5", 0/9; "4.6", 0/13; "1", 0/0; "5", 0/0; "6", 0/2; "7", 0/6; "9", 0/4; "8a", 0/2; "11p", 0/5; "12a", 0/2; "4sb", 0/0; "4", 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
© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2021-7-23)
