EndoTODAY 내시경 교실
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[Gastric cancer 603]
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외부 조직검사에서 P/D로, 본 병원에서 W/D로 나와 내시경치료를 위하여 의뢰된 환자입니다. 미분화혼재암의 가능성을 설명하였고 아래와 같은 결과였습니다.
Stomach, ESD : Early gastric carcinoma
1. Location : body, lesser curvature
2. Gross type : EGC type IIc
3. Histologic type : tubular adenocarcinoma, moderately differentiated >> poorly differentiated (30%)
4. Histologic type by Lauren : intestinal
5. Size of carcinoma : (1) longest diameter, 24 mm (2) vertical diameter, 8 mm
6. Depth of invasion : invades mucosa (lamina propria) (pT1a)
7. Resection margin : free from carcinoma(N), safety margin : distal 12 mm, proximal 7 mm, anterior 6 mm, posterior 18 mm, deep 400 ㎛
8. Lymphatic invasion : not identified(N)
9. Venous invasion : not identified(N)
10. Perineural invasion : not identified(N)
11. Microscopic ulcer : absent
12. Histologic heterogeneity: present
© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng.