Remnant gastric cancer 30 years after partial gastrectomy for peptic ulcer bleeding. EndoTODAY 이준행

[Gastric cancer 843. Remnant gastric cancer 30 years after partial gastrectomy for peptic ulcer bleeding]

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This is a remnant gastric cancer 30 years after partial gastrectomy for peptic ulcer bleeding. Endoscopic resection was impossible due to it's location (anastomosis site).

Stomach, completion total gastrectomy: Status post subtotal gastrectomy. Early gastric carcinoma
1. Location : middle third and anastomosis site, Center at anastomosis site
2. Gross type : EGC type IIc
3. Histologic type : tubular adenocarcinoma, moderately differentiated
4. Histologic type by Lauren : intestinal
5. Size : 1.9x0.9 cm
6. Depth of invasion : invades mucosa (muscularis mucosae) (pT1a)
7. Resection margin: free from carcinoma, safety margin: proximal 9.2 cm, distal 6.5 cm
8. Lymph node metastasis : no metastasis in 26 regional lymph nodes (pN0) (0/26 : "2", 0/4; "3", 0/10; "4", 0/0; "6", 0/0; "7", 0/1; "9", 0/3; "8a", 0/6; "11p", 0/0; "12a", 0/2; "4sb", 0/0; "1", 0/0)
9. Lymphatic invasion : not identified
10. Venous invasion : not identified
11. Perineural invasion : not identified
12. Peritoneal cytology : negative
13. AJCC stage by 8th edition: pT1a N0