EGC-like AGC. EndoTODAY 이준행

001 | 101 | 201 | 301 | 401 | 501 | 601 | 701 | 801 | 901 | 1000

침윤 깊이 예측은 상당히 어렵습니다. 하바터면 ESD를 시도할 수도 있을 것 같은 병소입니다. 조직검사에서 M/D adenocarcinoma였고 수술을 했습니다.

Stomach, subtotal gastrectomy: Advanced gastric carcinoma
1. Location : middle third, Center at body and lesser curvature
2. Gross type : Borrmann type unclassifiable (mimicking EGC type I)
3. Histologic type : tubular adenocarcinoma, moderately differentiated
4. Histologic type by Lauren : intestinal
5. Size : 4.1x3.5 cm
6. Depth of invasion : penetrates subserosal connective tissue (pT3)
7. Resection margin: free from carcinoma, safety margin: proximal 3.8 cm, distal 6.3 cm
8. Lymph node metastasis : no metastasis in 26 regional lymph nodes (pN0) (0/26: "3,5", 0/3; "4,6", 0/8; "1", 0/2; "4ss", 0/0; "5", 0/1; "6", 0/0; "8a", 0/0; "7", 0/0; "9", 0/4; "11p", 0/3; "12a", 0/3; perigastric, 0/2)
9. Lymphatic invasion : present
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. AJCC stage by 7th edition: pT3 N0