Chaudry Nusrat Ullah, Zafar Shamail
Department of Medical Unit 1, Lahore Medical and Dental College, Lahore.
J Coll Physicians Surg Pak. 2007 May;17(5):277-9.
Gastrointestinal mesenchymal tumors are a group of tumors, which originate from the mesenchymal stem cells of the gastrointestinal tract. Gastric schwannoma is a very rare gastrointestinal mesenchymal tumor, which represents only 0.2% of all gastric tumors and 4% of all benign gastric neoplasms. We report a 55 years old lady who suffered from pain epigastrium, vomiting, occasionally with blood, loss of appetite and weight loss. Endoscopic examination showed a round submucosal tumor with a central ulceration along the greater curvature of the stomach. The pathological examination revealed a picture of spindle cell tumor. Immunohistochemical stain was strongly positive for S-100 protein stain, and non-reactive for CD34, CD117, consistent with benign nerve sheath tumor of stomach i.e. gastric schwannoma.
胃肠道间质瘤是一组起源于胃肠道间充质干细胞的肿瘤。胃神经鞘瘤是一种非常罕见的胃肠道间质瘤,仅占所有胃肿瘤的0.2%和所有胃良性肿瘤的4%。我们报告一位55岁女性,她有上腹部疼痛、呕吐,偶尔伴有出血、食欲不振和体重减轻。内镜检查显示胃大弯处有一个圆形黏膜下肿瘤,中央有溃疡。病理检查显示为梭形细胞瘤图像。免疫组化染色S-100蛋白染色呈强阳性,CD34、CD117无反应,符合胃良性神经鞘瘤即胃神经鞘瘤。