진행성위암. Advanced gastric cancer. AGC. EndoTODAY 이준행

[Advanced Gastric Cancers (AGCs)]

2017 소화기내과 분과전문의 연수교육 강의 동영상입니다. 첫 증례가 보만 4형 진행성 위암입니다.

1. Borrmann type I

2. Borrmann type II

3. Borrmann type III

Stomach, subtotal gastrectomy: Advanced gastric carcinoma
1. Location : lower third, Center at body and lesser curvature
2. Gross type : Borrmann type 3
3. Histologic type : tubular adenocarcinoma, moderately differentiated
4. Histologic type by Lauren : intestinal
5. Size : 4.5x4 cm
6. Depth of invasion : penetrates subserosal connective tissue (pT3)
7. Resection margin: free from carcinoma, safety margin: proximal 2.5 cm, distal 2 cm
8. Lymph node metastasis : metastasis to 2 out of 34 regional lymph nodes (pN1) (2/34 : "3,5", 1/9; "4,6", 0/7; "5", 0/1; "6", 0/4; "7", 0/0; "9", 0/1; "8a", 0/2; "11p", 0/3; "12a", 0/0; "4sb", 0/1; "1", 0/3; "perigastric lymph node", 1/3)
9. Lymphatic invasion : present
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. Peritoneal cytology : negative
13. AJCC stage by 7th edition: pT3 N1

4. Borrmann type IV

[References]

1) EndoTODAY depth of invasion
2) [2013-4-17 대한소화기내시경학회 교육자료] 위암의 내시경 진단 분류 체계
3) Survey on endoscopic classification of EGC (EndoTODAY 2013-5-23)