EGC (SM) with #6 node metastasis. EndoTODAY 이준행

[Gastric cancer 902. EGC (SM) with #6 node metastasis]

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4번 node 전이 없이 6번 node 전이가 있었던 드문 경우입니다.

Stomach, subtotal gastrectomy: Early gastric carcinoma
1. Location : lower third, center at antrum and posterior wall
2. Gross type : EGC type IIa+IIc
3. Histologic type : tubular adenocarcinoma, moderately differentiated
4. Histologic type by Lauren : intestinal
5. Size : 3.2x1.9 cm
6. Depth of invasion : extension to submucosa (sm3) (pT1b)
7. Resection margin: free from carcinoma, safety margin: proximal, 7.4 cm; distal, 5 cm
8. Lymph node metastasis : metastasis to one out of 23 regional lymph nodes (pN1) (1/23: "1", 0/2; "3", 0/5; "4", 0/6; "4sb", 0/2; "5", 0/0; "6", 1/1; "8a", 0/3; "7", 0/1; "9", 0/2; "11p", 0/0; "12a", 0/0; perigastric node, 0/1)
9. Lymphatic invasion : present (+++)
10.Venous invasion : not identified
11.Perineural invasion : not identified