EndoTODAY 내시경 교실
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[위암 344 - 바렛식도암]
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Hiatal hernia 내부의 inward indentation을 보이는 squamocolumnar junction의 adenocarcinoma입니다. 육안적으로는 바렛식도가 거의 없었지만 병리학적으로는 암병소 아래에 esophageal gland가 뚜렷한 바렛식도암이라고 보고받았습니다.
Stomach, endoscopic submucosal dissection:
Early gastric carcinoma arising from Barrett esophagus
1. Location : cardia
2. Gross type : EGC type IIa
3. Histologic type : tubular adenocarcinoma, moderately differentiated, arising from Barrett esophagus
4. Histologic type by Lauren : intestinal
5. Size of carcinoma : (1) longest diameter, 10 mm (2) vertical diameter, 6 mm
6. Depth of invasion : invades mucosa (muscularis mucosa) (pT1a)
7. Resection margin : free from carcinoma(N), safety margin : distal 3 mm, proximal 3 mm, anterior 4 mm, posterior 2 mm
8. Lymphatic invasion : not identified(N)
9. Venous invasion : not identified(N)
10. Perineural invasion : not identified(N)
11. Microscopic ulcer : absent
12. Histologic heterogeneity: absent
© 2016-2-1. 일원내시경교실 바른내시경연구소 이준행