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조직검사에서 poorly differentiated adenocarcinoma였습니다. ESD를 시도하시겠습니까?
아래로
아래로
아래로
저는 수술을 권하였고 아래의 결과를 얻었습니다.
1-3. Stomach, subtotal gastrectomy:
Early gastric carcinoma
1. Location : lower third, Center at antrum and greater curvature
2. Gross type : EGC type IIc
3. Histologic type: tubular adenocarcinoma, poorly(poorly cohesive) differentiated
4. Histologic type by Lauren : diffuse
5. Size : 0.8x0.6 cm
6. Depth of invasion : invades submucosa (sm2) (pT1b)
7. Resection margin: free from carcinoma, safety margin: proximal 9.5 cm, distal 4.3 cm
8. Lymph node metastasis : no metastasis in 45 regional lymph nodes (pN0)
9. Lymphatic invasion : present
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. Peritoneal cytology : negative
13. AJCC stage by 7th edition: T1b N0
Poorly differentiated adenocarcinoma에서는 어지간해서는 수술하는 것이 좋겠습니다.
© EndoTODAY Endoscopy Learning Center. Jun Haeng Lee. 일원내시경교실 바른내시경연구소 이준행