Kim Eun Young, Lee Sung Hak, Yoo Han Mo, Song Kyo Young, Park Cho Hyun
The Catholic University of Korea, Seoul, Korea.
The Catholic University of Korea, Seoul, Korea
Int J Surg Pathol. 2015 Sep;23(6):505-8. doi: 10.1177/1066896915573570. Epub 2015 Mar 21.
Gastric malignant peripheral nerve sheath tumors (MPNSTs) are sarcomas arising within a peripheral nerve. Gastric MPNSTs are extremely rare with only a few cases. We herein describe the case of a 48-year-old man with a gastric MPNST for the first time in Korea, which was diagnosed histopathologically after surgery. The patient underwent curative subtotal gastrectomy with D1+ lymph node dissection and Billroth-II reconstruction. The postoperative recovery was uneventful, and he has had no recurrence until now. The ideal adjuvant treatment protocol is yet to be decided due to the relatively limited number of cases of these tumors previously reported.
胃恶性外周神经鞘瘤（MPNSTs）是起源于外周神经的肉瘤。胃MPNSTs极为罕见，仅有少数病例报道。我们在此首次描述了一名48岁韩国男性胃MPNSTs的病例，该病例在手术后经组织病理学确诊。患者接受了D1 +淋巴结清扫的根治性胃次全切除术及毕Ⅱ式重建术。术后恢复顺利，至今未复发。由于此前报道的这些肿瘤病例数量相对有限，理想的辅助治疗方案尚未确定。
