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Department of Pathology R3 NKY Case 1
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Large intestine, total colectomy: Intestinal pseudo-obstruction with decreased interstitial cells of Cajal Appendix, total colecotomy: No specific change Ileum, total colecotomy: Fibrous adhesion Diagnosis
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GI motility disorder Neural disorder Muscular disorder Interstitial cells of Cajal (ICC) A/W systemic disease Infection Brief Review
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Pacemaker cells conrolling SM contraction Coordinators in the neural control of SM Esophagus, stomach, small and large bowel Distribution; Submucosa, intramuscular, myenteric plexus ICC
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Hirshcsprung disease Interstitial neuronal dysplasia Description of following structure 1) Ganglion 2) Nerve 3) Interstitial cells of Cajal Template for Reporting GI Motility Disorder
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Department of Pathology R3 NKY Case 2
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Stomach, distal gastrectomy: Tubular adenocarcinoma, poorly differentiated 1) Location: Gastro-jejunal anastomosis site 2) Tumor gross type: Early gastric carcinoma, type IIa + IIb 3) Histologic type by Lauren classification: Intestinal 4) Tumor size: 0.8 cm x 0.6 cm 5) Depth of invasion: Tumor invades muscularis mucosae (pT1a) 6) Margins of resection: No tumor identified at proximal and distal resection margins (safety margin: proximal 3.0 cm, distal 4.0 cm) 7) Lymphatic invasion: Not identified 8) Vascular invasion: Not identified 9) Regional lymph nodes: No metastasis in 15 regional lymph nodes (0/15, pN0) (perigastric: 0/11, omental: 0/2, LN7: 0/1, LN8/; 0/1) 10) Additional pathologic findings: Gastric cystica superficialis Diagnosis
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