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[위암 285 - 심달도 연습]
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젊은 남성이 토혈로 오셨습니다. 추정 침윤 깊이(심달도)는?
Advanced gastric carcinoma
1. Location : middle third, Center at mid body and anterior wall
2. Gross type : Borrmann type 3
3. Histologic type : tubular adenocarcinoma, poorly differentiated
4. Histologic type by Lauren : diffuse
5. Size : 2.3x1.5 cm
6. Depth of invasion : penetrates subserosal connective tissue (pT3)
7. Resection margin: free from carcinoma
8. Lymph node metastasis : no metastasis in 54 regional lymph nodes (pN0)
9. Lymphatic invasion : not identified
10. Venous invasion : not identified
11. Perineural invasion : present
12. Peritoneal cytology : negative
13. AJCC stage by 7th edition: pT3 N0
[이준행 comment] 저의 편견일 수 있습니다. 비슷해 보일면 젊은 분일수록 심달도가 깊은 것 같습니다.
© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng.