A Rare Case of Gastric Schwannoma: A Case Report and Literature Review.

Autor: Yanagawa, Senichiro, Kagemoto, Kenichi, Tanji, Hidehiro, Kodama, Shinya, Takeshima, Yukio, Sumimoto, Kazuo
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Zdroj: Case Reports in Oncology; 2020, Vol. 13 Issue 1, p330-335, 6p
Abstrakt: In general, schwannoma is a benign and slow-glowing neoplasm that rarely occurs in the gastrointestinal tract as a submucosal tumor (SMT), with the most common site being the stomach. As gastric schwannoma (GS) is a rare tumor, there is limited data in the literature about its clinical features. The diagnosis of schwannoma can only be made by pathological examination with positive staining for S-100 protein. It is necessary to obtain an accurate diagnosis to introduce optimal treatment options preoperatively. However, a precise diagnosis of GS is difficult, even with modern imaging techniques. On the other hand, a complete resection with a negative surgical margin (R0) of GS is considered the best treatment, with an excellent prognosis. We present a case of a 66-year-old female patient who underwent laparoscopic-assisted wedge gastrectomy for gastric SMT, pathologically diagnosed as GS, with positive staining for S-100 protein and negative for c-kit and CD34. At 12-month follow-up after surgery, there was no recurrence or metastasis of GS. Our treatment is appropriate and effective in case of GS exceeding 50 mm. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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