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[Gastric cancer 565 - melena로 내원한 진행성 위암]
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2015년. 60대 여성입니다. Melena로 내원하여 검사 후 수술하였으나 매우 심하였습니다.
Stomach, total gastrectomy:
. Advanced gastric carcinoma
1. Location : middle third, upper third Center at body and lesser curvature
2. Gross type : Borrmann type 3
3. Histologic type : tubular adenocarcinoma, poorly (solid) differentiated
4. Histologic type by Lauren : diffuse
5. Size : 11x10 cm
6. Depth of invasion : penetrates subserosal connective tissue (pT3)
7. Resection margin: free from carcinoma, safety margin: proximal 2 cm, distal 8.5 cm
8. Lymph node metastasis : metastasis to 27 out of 32 regional lymph nodes (pN3b) (perinodal extension: present) (27/32: "1", 4/4; "2", 2/2; "3", 9/9; "4", 1/4; "4sb", 0/0; "5", 2/2; "6", 2/4; "7", 1/1; "8a", 1/1; "9", 2/2; "11p", 0/0; perigastric LN, 3/3)
9. Lymphatic invasion : present
10. Venous invasion : present(extramural)
11. Perineural invasion : not identified
12. Associated findings : ulceration
13. AJCC stage by 7th edition: pT3 N3b
© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng.