EndoTODAY 내시경 교실
Beginner | ESA | Schedule | OPD
Seminars | Atlas | Recent | Links
[Gastric cancer 473]
001 | 101 | 201 | 301 | 401 | 501 | 601 | 701 | 801 | 901 | 1000
50대 여성의 epigastric pain으로 시행한 EGD였습니다. 집담회에서 voting을 했는데 위궤양, 위암, 위림프종 등 다양한 의견이 있었습니다. 저는 위궤양에 한 표 했는데.... 답은 암이었습니다. 창피는 계속됩니다.
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 differentiated
4. Histologic type by Lauren : diffuse
5. Size : 2.2x1.5 cm
6. Depth of invasion : invades submucosa (sm3) (pT1b)
7. Resection margin: free from carcinoma, safety margin: proximal 8.7 cm, distal 2 cm
8. Lymph node metastasis : metastasis to 1 out of 25 regional lymph nodes (pN1), (perinodal extension: absent) (1/25: LN3,5, 0/9; LN4,6, 0/4; "1", 0/0; "4ss", 0/0; "5", 0/0; "6", 1/4; "8a", 0/0; "7", 0/1; "9", 0/3; "11p", 0/2; "12a", 0/2)
9. Lymphatic invasion : present
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. Peritoneal cytology : negative
© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng.