Oh Sung Jin, Suh Byoung Jo, Park Jong Kwon
Department of Surgery, Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.
Case Rep Oncol. 2016 Apr 21;9(1):228-34. doi: 10.1159/000445825. eCollection 2016 Jan-Apr.
A schwannoma is a kind of neurogenic tumor that rarely occurs in the gastrointestinal tract. Gastric schwannomas make up 0.2% of all gastric neoplasms. Gastrointestinal stromal tumors (GIST) are the most common mesenchymal tumors and up to 60-70% of GIST occur in the stomach. Schwannoma and GIST are similar in clinical features, so they are difficult to differentiate preoperatively. Differential diagnosis of these two submucosal tumors is important because of the malignant potential of GIST and the relatively benign course of gastric schwannomas. We report a 49-year-old woman who was diagnosed after operation with a gastric schwannoma, which was suspected a malignant GIST by fluorine-18-fluorodeoxyglucose positron emission computed tomography imaging.
施万细胞瘤是一种神经源性肿瘤,很少发生于胃肠道。胃施万细胞瘤占所有胃肿瘤的0.2%。胃肠道间质瘤(GIST)是最常见的间叶组织肿瘤,高达60%-70%的GIST发生于胃。施万细胞瘤和GIST在临床特征上相似,因此术前难以鉴别。由于GIST有恶变潜能,而胃施万细胞瘤病程相对良性,所以这两种黏膜下肿瘤的鉴别诊断很重要。我们报告一名49岁女性,术后诊断为胃施万细胞瘤,术前氟-18-氟脱氧葡萄糖正电子发射计算机断层显像怀疑为恶性GIST。