Mitsui Hideo, Yoshida Tomoyuki, Yoshimoto Eri, Iizuka Doichiro, Yoshida Takashi, Kanazawa Nobuo, Kuroiwa Kojiro
Dept. of Surgery, Tokyo Metropolitan Geriatric Medical Center.
Gan To Kagaku Ryoho. 2020 May;47(5):835-837.
The patient was a 52-year-old woman, who was found to have an abnormality in the upper gastrointestinal(UGI)tract, via a contrast-imaging study; she had no symptoms.Computed tomography(CT)revealed a tumor, measuring approximately 100mm in diameter, in the antrum of the stomach.The tumor was diagnosed as gastric schwannoma using endoscopic ultrasonography-guided fine-needle aspiration(EUS-FNA).Preoperative CT revealed multiple lymph adenopathies around the antrum, which led to the suspicion of lymph node metastasis. The patient underwent a laparoscopic partial gastrectomy after the confirmation of the absence of lymph node metastasis by intraoperative rapid diagnosis.
患者为一名52岁女性，通过造影成像检查发现上消化道（UGI）存在异常；她没有症状。计算机断层扫描（CT）显示胃窦部有一个直径约100mm的肿瘤。通过内镜超声引导下细针穿刺抽吸术（EUS-FNA）将该肿瘤诊断为胃神经鞘瘤。术前CT显示胃窦周围有多个肿大淋巴结，这引发了淋巴结转移的怀疑。在术中快速诊断确认无淋巴结转移后，患者接受了腹腔镜部分胃切除术。
