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EndoTODAY 내시경 교실


[Gastric cancer 694]

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점막하암으로 추정했는데 의외로 점막암이 나왔습니다. 심달도는 어렵습니다.


Stomach, Subtotal gastrectomy: Early gastric carcinoma
1. Location : middle third, Center at mid body and posterior wall
2. Gross type : EGC type IIc
3. Histologic type : tubular adenocarcinoma, moderately differentiated
4. Histologic type by Lauren : mixed
5. Size : 3.8x2.4 cm
6. Depth of invasion : invades mucosa (lamina propria) (pT1a)
7. Resection margin: free from carcinoma, safety margin: proximal 1.5 cm, distal 11.7 cm
8. Lymph node metastasis : no metastasis in 22 regional lymph nodes (pN0)
9. Lymphatic invasion : not identified
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. AJCC stage by 8th edition: pT1a N0

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© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2018-11-23)