2018년 3월 14일 수요일

Refractory ulcer로 의뢰된 분입니다. Refractory ulcer 중 상당수는 위암입니다.

 
Stomach, total gastrectomy: Early gastric carcinoma 
1. Location : upper third, Center at cardia and lesser curvature 
2. Gross type : EGC type IIc 
3. Histologic type : tubular adenocarcinoma, poorly (solid) differentiated 
4. Histologic type by Lauren : diffuse 
5. Size : 2.8x1.1 cm 
6. Depth of invasion : invades submucosa (sm1) (pT1b) 
7. Resection margin: free from carcinoma, safety margin: proximal 0.4 cm, distal 16.3 cm 
8. Lymph node metastasis : no metastasis in 35 regional lymph nodes (pN0) 
9. Lymphatic invasion : not identified 
10. Venous invasion : not identified 
11. Perineural invasion : not identified 
12. Associated findings : gastritis cystica profunda 
13. Peritoneal cytology : negative 
14. AJCC stage by 8th edition: pT1b N0

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