Incidental gastric schwannoma identified during open Roux-en-Y gastric bypass
| Autor: | Lucas Thá Nassif, André Thá Nassif, Cassiano Machado, Victor K. Ivano, Larissa Miyashiro, Letícia Miyashiro, Larissa L. G. Silva |
|---|---|
| Jazyk: | angličtina |
| Předmět: |
medicine.medical_specialty
bariatric surgery Clinical Biochemistry Pathology and Forensic Medicine Lesion gastrointestinal neoplasias gastrointestinal stromal tumors incidental findings medicine Pathology RB1-214 Gastric Schwannoma gastric bypass biology CD117 business.industry Stomach digestive oral and skin physiology Nodule (medicine) digestive system diseases Surgery Medical Laboratory Technology medicine.anatomical_structure biology.protein medicine.symptom Differential diagnosis business Body mass index stomach Wedge resection (lung) |
| Zdroj: | Jornal Brasileiro de Patologia e Medicina Laboratorial |
| Popis: | When a gastric mass is encountered, the surgeon must make the decision to resect the lesion or stop the surgery (for less morbidity) and discuss the best treatment. it’s rare to find mesenchymal gastric tumors during bariatric procedures, specially gastric schwannomas (GS). 57-year-old woman with hypertension and diabetes under treatment, body mass index (BMI) of 36 kg/m2, referring difficulties to lose weight with diet and physical activity. The patient underwent a Roux-en-Y gastric bypass (RYBG) with a wedge resection of a gastric nodule in the anterior wall of the incisura angularis. The immunohistochemistry (IHC) staining was strongly positive for S100, whereas c-kit (CD117), CD45, smooth muscle action (SMA), AE1/AE3 were negative. Hence, a final diagnosis of gastric schwannoma was made. GS should be included in the differential diagnosis of gastric nodules. We also present a surgical option to treat obese patients with gastric nodules during the bariatric procedure. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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