EGC IIa. EndoTODAY 이준행

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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