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[Gastric cancer 644 - Borrmann type 4 of the fundus]

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Borrmann type IV of the fundus (only fundus) is rare and difficult to differentiate from lymphoma.

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Stomach, radical total gastrectomy: Advanced gastric carcinoma
1. Location : [1] upper third, Center at fundus and posterior wall
2. Gross type : Borrmann type 4
3. Histologic type : tubular adenocarcinoma, poorly (poorly cohesive) differentiated
4. Histologic type by Lauren : diffuse
5. Size : 5x4 cm
6. Depth of invasion : penetrates subserosal connective tissue (pT3)
7. Resection margin: free from carcinoma, safety margin: proximal 2 cm, distal 18 cm
8. Lymph node metastasis : no metastasis in 36 regional lymph nodes (pN0) (0/36: "2", 0/5; "3", 0/2; "4", 0/13; "5", 0/1; "6", 0/2; "7", 0/3; "9", 0/5; "8a", 0/2; "11p", 0/1; "12a", 0/2; "4sb", 0/0; "1", 0/0)
9. Lymphatic invasion : not identified
10. Venous invasion : not identified
11. Perineural invasion : present
12. AJCC stage by 8th edition: pT3 N0



© ÀÏ¿ø³»½Ã°æ±³½Ç ¹Ù¸¥³»½Ã°æ¿¬±¸¼Ò ÀÌÁØÇà. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2018-7-19)