胃神经鞘瘤的复发。

Recurrence of gastric schwannoma.

机构信息

Cirugía General y del Aparato Digestivo, Hospital Universitario Torrecárdenas, España.

出版信息

Rev Esp Enferm Dig. 2023 Apr;115(4):215-216. doi: 10.17235/reed.2023.9480/2023.

DOI:10.17235/reed.2023.9480/2023

PMID:36719332

Abstract

Gastric schwannoma can be malignant in 13.8% of cases. The prognosis of malignant schwannoma is usually poor, characterized by a rapidly progressive disease course and a poor response to chemotherapy. Normally, the recurrence of schwannoma is due to involvement of the surgical resection margin. In turn, recurrence of malignant gastric schwannoma GS is approximately 50%, 25% locoregional and 25% with liver metastases. Even after a complete gastric resection with associated lymphadenectomy, schwannoma may present liver metastases during follow-up.

摘要

胃 schwannoma 在 13.8%的病例中可能是恶性的。恶性 schwannoma 的预后通常较差，其特点是疾病进展迅速，对化疗反应不佳。通常， schwannoma 的复发是由于手术切除边缘受累。相反，恶性胃 schwannoma GS 的复发率约为 50%，局部复发 25%，肝转移 25%。即使在进行了完整的胃切除术和相关的淋巴结清扫术后， schwannoma 在随访期间也可能出现肝转移。