소개글
[일반외과] Case-stomach cancer에 대한 자료입니다.
목차
Patient Identification
Chief complaint
Present illness (cont.)
Present illness
Past history (cont.)
Past history
Review of system (cont.)
Review of system
Physical examination(cont.)
Physical examination
Problem List
Diagnostic Plan
Lab data
Esophagogastroduodenoscopy((GFS)
Endoscopic ultrasonography(EUS)
Diagnosis
Therapeutic Plan
Operation record
Disease Review
1. Incidence & Epidemiology
2. Risk factors
3. Classification
4. TNM Staging
5. Clinical features
6. Diagnosis
7. Treatment
Reference
본문내용
Laparoscopic subtotal gastrectomy and Billroth I
LN meta 없으면 5YSR>97~100%
F/U : 처음 1년간은 3~6개월마다 이후에는 1년에 1~2회 내시경 검사 시행
Op date : 2010. 04. 20
PreOp Dx
Stomach cancer(R/O EGC)
Op name
Laparoscopy Assisted Distal Gastrectomy
Billroth I
95% of all malignant gastric neoplasms
Gastric cancer incidence has decreased worldwide high : in Japan, China
The risk of gastric cancer is greater among lower socioecomomic classes.
Cancer risk : increases with age
Peak age : 65~74
Male>Female
usually no symptoms
Weight loss
Abdominal pain
Nausea and anorexia
Dysphagia
Continuous abdominal pain
free perforation - peritonitis
참고문헌
Kasper et al/Harrison’s principles of internal medicine/17thed./2008/McGrawHill/p570-573