EndoTODAY 내시경 교실
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[Gastric cancer 912. EGC-like AGC]
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위암으로 의뢰받았고 재검한 사진입니다. 수술을 권했습니다.
수술 결과는 의외로 AGC였습니다.
Stomach, proximal gastrectomy: Advanced gastric carcinoma
1. Location : upper third, Center at high body and postero-lesser curvature
2. Gross type : Borrmann type unclassifiable (mimicking EGC type IIb)
3. Histologic type : tubular adenocarcinoma, moderately differentiated
4. Histologic type by Lauren : intestinal
5. Size : 5.0x5.0 cm
6. Depth of invasion : penetrates subserosal connective tissue (pT3)
7. Resection margin: free from carcinoma, safety margin: proximal 0.8 cm, distal 4.5 cm
8. Lymph node metastasis : no metastasis in 20 regional lymph nodes (pN0)
9. Lymphatic invasion : not identified
10. Venous invasion : not identified
11. Perineural invasion : not identified
© 일원내시경교실 바른내시경연구소 이준행. EndoTODAY Endoscopy Learning Center. Lee Jun Haeng. (2022-6-19)
