EndoTODAY 내시경 교실
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[Gastric cancer 681 - EGC]
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IIa+IIc 혹은 IIc + IIa는 나쁜 종류입니다. SM invasion이 제법 많기 때문입니다.
ESD: Early gastric carcinoma
1. Location : antrum, lesser curvature
2. Gross type : EGC type IIc
3. Histologic type : tubular adenocarcinoma, moderately differentiated
4. Histologic type by Lauren : intestinal
5. Size of carcinoma : (1) longest diameter, 24 mm (2) vertical diameter, 18 mm
6. Depth of invasion : invades submucosa, (depth of sm invasion : 500 ㎛) (pT1b)
7. Resection margin : free from carcinoma(N), safety margin : distal 6 mm, proximal 5 mm, anterior 18 mm, posterior 12 mm, deep 250 ㎛
8. Lymphatic invasion : present (++)
9. Venous invasion : not identified(N)
10. Perineural invasion : not identified(N)
11. Microscopic ulcer : absent
12. Histologic heterogeneity: absent
외과에서 ESD가 의뢰되어 시술하였던 환자인데 다시 외과로 수술을 의뢰하였습니다.
© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2018-10-2)