2018년 6월 29일 금요일

대장암

 
Adenocarcinoma, moderately differentiated 
1. Location: sigmoid colon 
2. Gross type: ulceroinfiltrative 
3. Size: 1.6x1.5 cm 
4. Depth of invasion: invades subserosa (pT3) (distance from nearest serosa: about >5.0 mm) 
5. Resection margin: free from carcinoma, safety margin: proximal, 5.5 cm ; distal, 6 cm ; radial, >5.0 mm 
6. Regional lymph node metastasis : no metastasis in all 12 regional lymph nodes(pN0) 
7. Lymphatic invasion: not identified 
8. Venous invasion: not identified 
9. Perineural invasion: not identified 
10. Tumor budding : negative 
11. Pathologic staging: pT3 N0 Mx

 
Adenocarcinoma, moderately differentiated 
1. Location: transverse colon 
2. Gross type: ulcerofungating 
3. Size: 3.2x2.5 cm 
4. Depth of invasion: invades pericolic adipose tissue(pT3) (distance from nearest serosa: about 0.2 mm(200㎛)) 
5. Resection margin: free from carcinoma, safety margin: proximal, 14 cm ; distal, 6.5 cm ; radial, > 10.0 mm 
6. Regional lymph node metastasis : metastasis to 3 out of 13 regional lymph nodes(pN1b) (3/13: pericolic, 3/13) 
7. Lymphatic invasion: present 
8. Venous invasion: present (extramural) 
9. Perineural invasion: not identified 
10. Tumor budding : negative


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