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[Gastric cancer 567 - AGC 고령]
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70대 여성입니다. 두 병원 사진의 위점막 색깔이 너무 달라 놀랐습니다. 수혈 받은 것도 아닌데......
Stomach, radical total gastrectomy:
. Advanced gastric carcinoma
1. Location : upper third, Center at body and lesser curvature
2. Gross type : Borrmann type 3
3. Histologic type : tubular adenocarcinoma, poorly (poorly cohesive) differentiated
4. Histologic type by Lauren : diffuse
5. Size : 4x3.5 cm
6. Depth of invasion : invades serosa (pT4a)
7. Resection margin: free from carcinoma. safety margin: proximal 3 cm, distal 17 cm
8. Lymph node metastasis : metastasis to 2 out of 43 regional lymph nodes (pN1) (perinodal extension: absent) (2/43: "2", 0/2; "3", 2/9; "4", 0/13; "5", 0/1; "6", 0/1; "7", 0/6; "9", 0/0; "8a", 0/4; "11p", 0/3; "12a", 0/1; "4sb", 0/0; "1", 0/3; "11d", 0/0; "10", 0/0)
9. Lymphatic invasion : present
10. Venous invasion : not identified
11. Perineural invasion : present
12. Peritoneal cytology : negative
13. AJCC stage by 7th edition: pT4a N1
내시경의 color balance에 신경을 씁시다.
© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng.