위암 1,000. EndoTODAY 이준행

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잔위암입니다. Cardia암입니다. 3년 전 위암으로 수술받은 분으로 경과관찰 중 발견되어 의뢰되었습니다.

3년 전 수술 결과입니다.

Advanced gastric carcinoma
1. Location : middle third, Center at body and lesser curvature
2. Gross type : Borrmann type 3
3. Histologic type : tubular adenocarcinoma, poorly differentiated
4. Histologic type by Lauren : diffuse
5. Size : 2x2 cm
6. Depth of invasion : penetrates subserosal connective tissue (pT3)
7. Resection margin: free from carcinoma
8. Lymph node metastasis : metastasis to 13 out of 49 regional lymph nodes (pN3a), (perinodal extension: present)
9. Lymphatic invasion : not identified
10. Venous invasion : not identified
11. Perineural invasion : present
12. Peritoneal cytology : negative

Cardia cancer로 completion total gastrectomy 한 결과입니다. 작은 암으로 보였는데 놀랍게도 AGC였습니다.

Stomach, complete total gastrectomy:
Advanced gastric carcinoma, recurrent
1. Location : upper third, Center at cardia (Siewert II)
2. Gross type : Borrmann type 3
3. Histologic type : tubular adenocarcinoma, poorly differentiated
4. Histologic type by Lauren : diffuse
5. Size : 2.2x0.9 cm
6. Depth of invasion : penetrates subserosal connective tissue (pT3)
7. Resection margin: free from carcinoma, safety margin: proximal 1.7 cm, distal 7.2 cm
8. Lymphatic invasion : present
9. Venous invasion : not identified
10. Perineural invasion : present
11. Peritoneal cytology : negative