EndoTODAY 내시경 교실
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[Gastric cancer 523]
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처음 두 사진은 첫 내시경 검사이고 마지막 사진은 의뢰 후 재검입니다. 느낌은 약간 다르지만, elevated lesion 상단의 depressed area인 것은 같습니다. Deep SM invasion을 보인 medullary carcinoma로 나왔습니다.
Stomach, total gastrectomy:
. Early gastric carcinoma
1. Location : upper third, Center at cardia (Siewert III)
2. Gross type : EGC type IIc
3. Histologic type : medullary carcinoma
4. Histologic type by Lauren : indeterminate
5. Size : 2.0x1.2 cm
6. Depth of invasion : invades submucosa (sm3) (pT1b)
7. Resection margin: free from carcinoma
8. Lymph node metastasis : no metastasis in 46 regional lymph nodes (pN0)
9. Lymphatic invasion : not identified
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. AJCC stage by 7th edition: T1b N0
© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2017-9-18)