Kyung Hee University, Seoul, Korea GI Conference UGI Conference Presented by Byeong-Joo Noh Supervised by Youn-Wha Kim Kyung Hee University, Seoul, Korea.

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Presentation transcript:

Kyung Hee University, Seoul, Korea GI Conference UGI Conference Presented by Byeong-Joo Noh Supervised by Youn-Wha Kim Kyung Hee University, Seoul, Korea

CASE 3 M/53

Kyung Hee University, Seoul, Korea Stomach, distal gastrectomy: S

Kyung Hee University, Seoul, Korea Stomach, distal gastrectomy: S

Kyung Hee University, Seoul, Korea Stomach, distal gastrectomy: S

Kyung Hee University, Seoul, Korea Stomach, distal gastrectomy: S x200

Kyung Hee University, Seoul, Korea Stomach, distal gastrectomy: S x200

Kyung Hee University, Seoul, Korea Stomach, distal gastrectomy: S x200

Kyung Hee University, Seoul, Korea Stomach, distal gastrectomy: S x200

Kyung Hee University, Seoul, Korea Stomach, distal gastrectomy: S x200

Kyung Hee University, Seoul, Korea Stomach, distal gastrectomy: S x40

Kyung Hee University, Seoul, Korea Stomach, distal gastrectomy: Tubular adenocarcinoma, moderately differentiated 1) Location: Antrum, lesser curvature 2) Tumor gross type: Advanced gastric carcinoma, Bormann type 3 3) Histologic type by Lauren classification: Intestinal 4) Tumor size: 6.0 cm x 6.0 cm x 2.3 cm 5) Depth of invasion: Tumor invades adjacent structures (gallbladder)(pT4b) 6) Margins of resection: No tumor (safety margin: proximal 2.3 cm, distal 4.0 cm) 7) Lymphatic invasion: Present 8) Vascular invasion: Not identified 9) Regional lymph nodes: Metastasis to 7 of 38 regional lymph nodes (7/38, pN3a) (perigastric: 7/32, LN#1: 0/1, LN#8: 0/4, LN#11: 0/1) 10) Additional pathologic findings: No tumor, mesocolon

Kyung Hee University, Seoul, Korea Ileum and cecum, segmental resection: S

Kyung Hee University, Seoul, Korea Ileum and cecum, segmental resection: S

Kyung Hee University, Seoul, Korea IC valve Ileum and cecum, segmental resection: S

Kyung Hee University, Seoul, Korea Ileum and cecum, segmental resection: S

Kyung Hee University, Seoul, Korea Diagnosis Ileum and cecum, segmental resection: Adenocarcinoma, metastatic (History of stomach cancer) Lymph nodes, segmental resection: Adenocarcinoma, metastatic (1/8) (History of stomach cancer) Peritoneum, biopsy: Adenocarcinoma, metastatic (History of stomach cancer)