2018년 7월 16일 월요일

보만 2형일까요? Lymphoma일까요?

Differential diagnosis between AGC Borrmann type II and gastric lymphoma is difficult

보만 2형일까요? Lymphoma일까요?

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보만 2형 진행위암이었습니다.

Stomach radical subtotal gastrectomy: Advanced gastric carcinoma 
1. Location : lower third, Center at body, antrum and greater curvature 
2. Gross type : Borrmann type 2 
3. Histologic type : tubular adenocarcinoma, poorly (solid or poorly cohesive) differentiated 
4. Histologic type by Lauren : diffuse 
5. Size : 6.8x6.5 cm 
6. Depth of invasion : invades serosa (pT4a) 
7. Resection margin: free from carcinoma, safety margin: proximal 10.5 cm, distal 4 cm 
8. Lymph node metastasis : no metastasis in 83 regional lymph nodes (pN0) (0/83: "3", 0/22; "4", 0/6; "5", 0/3; "6", 0/7; "7", 0/10; "9", 0/1; "8a", 0/5; "11p", 0/6; "12a", 0/3; "4sb", 0/9; "1", 0/1; "perigastric LN", 0/10) 
9. Lymphatic invasion : present 
10. Venous invasion : not identified 
11. Perineural invasion : not identified 
12. AJCC stage by 8th edition: pT4a N0



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