Cancer Staging:Gastric Cancer Medical Univ

Slides:

Advertisements

Similar presentations

Esophagus, Esophagus GE Junction, Stomach

Advertisements

Endoscopic Ultrasound in Rectal Cancer Natasha Schneider November 15, 2010.

AJCC Staging Moments AJCC TNM Staging 7th Edition Rectal Case #3 Contributors: J. Milburn Jessup, MD Cancer Diagnosis Program, DCTD, NCI, Rockville, Maryland.

Revised AJCC Classification of Extrahepatic Bile Duct Tumors.

Amy Schindler 10/18/10.  Endoscopic appearance: Early cancers: superficial plaque, nodule, or ulceration Advanced lesions: strictures, ulcerated masses,

Prof. Faisal Ghani Siddiqui FCPS; PGDip-bioethics; MCPS-HPE

AJCC TNM Staging 7th Edition Thyroid Case #3

AJCC TNM Staging 7th Edition Colon Case #1

AJCC Staging Moments AJCC TNM Staging 7th Edition Glottic Larynx Case #1 Contributors: Jatin P. Shah, MD Memorial Sloan-Kettering Cancer Center, New York,

AJCC 7th Edition of Gastric Cancer: good enough?

62 years old man Main complaint: Back pain at night but not during the day Loss of appettite Weight loss.

Esophageal Cancer.

AJCC TNM Staging 7th Edition Breast Case #3

Colorectal cancer Khayal AlKhayal MD,FRCSC

Gastric Cancer.

Gastric Carcinoma.

Gastric Cancer Matt White AM Report April 19, 2010.

AJCC TNM Staging 7th Edition Melanoma Case #2

AJCC Staging Moments AJCC TNM Staging 7th Edition Breast Case #2 Contributors: Stephen B. Edge, MD Roswell Park Cancer Institute, Buffalo, New York David.

AJCC Staging Moments AJCC TNM Staging 7th Edition Colon Case #2 Contributors: J. Milburn Jessup, MD Cancer Diagnosis Program, DCTD, NCI, Rockville, Maryland.

AJCC Staging Moments AJCC TNM Staging 7th Edition Lung Case #1 Contributors: Valerie W. Rusch, MD Memorial Sloan-Kettering Cancer Center, New York, New.

AJCC Staging Moments AJCC TNM Staging 7th Edition Breast Case #1 Contributors: Stephen B. Edge, MD Roswell Park Cancer Institute, Buffalo, New York David.

Mazen Hassanain. Bile duct Cancer Average age 60 years Ulcerative colitis is a common associated condition Subtypes: (1) periductal infiltrating, (2)

Gallbladder Carcinoma SONO 1218 March, Gallbladder Carcinoma Although uncommon, carcinoma of the gallbladder is the most common primary hepatobiliary.

AJCC Staging Moments AJCC TNM Staging 7th Edition Supraglottic Larynx Case #2 Contributors: Jatin P. Shah, MD Memorial Sloan-Kettering Cancer Center, New.

NEOPLASMS OF THE STOMACH

Digestive pathology I. Chronic peptic ulcer From: Stevens A. J Lowe J. Pathology. Mosby 1995 Fig Deep loss of substance, often single, round or.

A 58 years old man presents with melena. What would you ask him?

Colon Cancer. Multihit Concept Clinical Information Clinical Information 1. Patient identification a. Name b. Identification number c. Age (birth date)

SUBJECTIVE: 63 y/o, female Epigastric pain Vomiting Weight loss Early satiety Easy fatigability OBJECTIVE: CT scan: gastric mucosal thickening (+)pallor.

Intrahepatic Bile Ducts Liver diagram differentiating intrahepatic bile ducts from extrahepatic bile ducts and showing a mass-forming type of intrahepatic.

The role of Endoscopy in Gastric Cancer Fergal Donnellan Gastroenterologist VGH.

By Dr. Gehan Mohamed Dr. Abdelaty Shawky

LLG03999 TN Categorization for Rectal and Colon Cancers Based on National Survival Outcome Data 1 Mayo Clinic Cancer Center – Arizona; Scottsdale, AZ 2.

Jungsuk An Department of Pathology, Samsung Medical Center 09-39)Metastatic Gastric Cancer from Pancreatic Ductal Adenocarcinoma.

NEOPLASIA Dr. Manal Maher Hussein.

Subepithelial tumors in the upper gastrointestinal tract

위암병리보고서의 기재사항 서울대학교 김 우 호.

Advanced Carcinoma of the cervix

Case 1  US-guided needle biopsy Consistent with diffuse large B-cell lymphoma.

Figure 1: a 32-year-old woman presented with RT breast mass, MRI showed false positive diagnosis of cancer. Dynamic contrast enhanced MRI, axial subtraction.

Staging of rectal cancer by EUS: depth of infiltration in T3 cancers is important Christian Jürgensen, MD, Andreas Teubner, MD, Jörg-Olaf Habeck, MD, Friederike.

Significance of Neoplastic Involvement of Margins Obtained by Endoscopic Mucosal Resection in Barrett’s Esophagus Ganapathy A. Prasad, M.D. Navtej S. Buttar,

Gastric Cancer Pathology. Malignant Neoplasms of the Stomach Primary Adenocarcinoma (94%) Lymphoma (4%) Malignant GIST (1%) Haematogenous spread Breast.

Normal stomach. Fundic mucosa with parietal & chief cells Antral mucosa with mucin secreting glands Stomach - Histology.

Endometrial cancer. A, B: Long-axis images of a polypoid mass surrounded by a thin sliver of intraluminal fluid. This tumor occupied the entire uterine.

Pleomorphic adenoma –the tumour at the left side is white gray firm lobulated mass without hemorrhage or necrosis. note the normal lobulated gland at the.

Endoscopic Ultrasound Primer for Endoscopy Nurses

LL Gunderson1, JM Jessup 2, DJ Sargent 3, FL Greene 4, A Stewart 5

2epart EXTRAPULMONARY SMALL CELL CANCER OF THE ESOPHAGUS INTRODUCTION

Magnetic Resonance Imaging of Anorectal Neoplasms

Current Status of Breast Ultrasound

Volume 2, Issue 9, Pages (September 2017)

Prolonged Survival in a Case of Chemotherapy-Sensitive Gastric Cancer That Produced Alpha-Fetoprotein and Protein Induced by Vitamin K Antagonist-II Case.

STOMACH CANCER BY DR: ALI ALWAILY/MD.

The incidental upper gastrointestinal subepithelial mass

ENDOSCOPIC ULTRASOUND

Gastrointestinal imaging: Endoscopic ultrasound

Depth of Submucosal Invasion Does Not Predict Lymph Node Metastasis and Survival of Patients With Esophageal Carcinoma Rami J. Badreddine, Ganapathy.

Gastrointestinal Cancer Imaging: Deeper Than the Eye Can See

John R. Goldblum, MD, Thomas W. Rice, MD, Gregory Zuccaro, MD, Joel E

Endoscopic ultrasonography: The current status

Metastatic Carcinoma of the Breast Resembling Early Gastric Carcinoma

GERD and Peptic ulcer Lab

Changes in TNM 8 To be used from

Fig. 9. A 56-year-old woman, who underwent chemotherapy due to advanced gastric cancer, complained of swelling and erythema of left breast. She underwent.

Figure 1a (a) Drawing illustrates the revised TNM staging system for esophageal cancer (seventh edition). (b) Endoscopic US image shows the normal esophageal.

EUS-guided ethanol injection for treatment of a GI stromal tumor

Presentation transcript:

Cancer Staging:Gastric Cancer Medical Univ Cancer Staging:Gastric Cancer Medical Univ. of South Carolina Digestive Disease Center Dr. Ian Penman and Dr. David Williams

TNM staging and grouping of Gastric Cancer (AJCC Cancer Staging Manual TNM staging and grouping of Gastric Cancer (AJCC Cancer Staging Manual. Fifth Edition. 1997. Lippincott-Raven, publishers). Depth of invasion correlates with reduced survival while regional nodal metastases are the most powerful prognostic indicator

Gastric Cancer, T1 On EUS, gastric cancers appear as irregular hypoechoic lesions with variable penetration of the gastric wall. An irregular heterogenous polypoid tumor can be seen extending into the submucosa. The underlying hypoechoic layer corresponding to the muscularis propria remains intact.

Gastric Cancer, T3 A large irregular heterogenous tumor is seen with disruption of gastric wall layer structure. The anechoic triangular space adjacent to the tumor represents ascites.

Gastric Cancer, T3 The hypoechoic layer corresponding to the muscularis propria has been breached by an irregular hypoechoic tumor(arrow) with complete disruption of the gastric wall layer structure.

Gastric Cancer, celiac axis invasion Using a linear array echoendoscope (Pentax FG-32UA) a large hypoechoic mass can be seen invading the celiac axis (CA) at its origin from the aorta.

Gastric Cancer, linitis plastica 5-15% of tumors are diffusely infiltrating, spreading mainly in the submucosa and muscularis. The gastric wall is markedly thickened (11mm; normally <5mm by EUS) and is completely replaced by hypoechoic tumor. The anechoic triangular structure adjacent to tumor is ascites.

Perigastric Tumor A 70-year-old woman with past history of ovarian carcinoma presented with melena and abdominal pain. At EGD there was the suggestion of an extramural mass resulting in gastric compression. EUS confirmed a large irregular heterogenous mass extending upto but not invading the gastric wall. (slide 21). The hypoechoic tumor can then be seen invading through the gastric wall with erosion onto the mucosal surface (slide 22).