Cordeiro Rodrigo, Morgado Margarida, Oliveira Vera, Bispo Miguel, Castillo-Martin Mireia, Matos Celso
Department of Radiology, Hospital do Divino Espírito Santo de Ponta Delgada, Av. D. Manuel I, 9500-370 Ponta Delgada, Azores, Portugal.
Department of Radiology, Centro Hospitalar de São João, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, Portugal.
Radiol Case Rep. 2023 Oct 11;18(12):4465-4473. doi: 10.1016/j.radcr.2023.09.048. eCollection 2023 Dec.
Gastric schwannomas are rare, slow-growing tumors whose clinical presentation is nonspecific. These are mostly benign, with a low probability of malignant transformation and an excellent prognosis. We present 2 cases of gastric schwannomas with distinct clinical features and imaging patterns, whose therapeutic approach differed. Case 1 is a 73-year-old woman with a voluminous subepithelial lesion in the greater gastric curvature, with predominantly endoluminal growth. Clinically the patient presented with nonspecific abdominal complaints and underwent complete surgical excision. Case 2 is a 69-year-old woman with an exophytic lesion adjacent to the gastric antrum, diagnosed incidentally and managed conservatively, with imaging follow-up, for the last 5 years and stable ever since. This article aims to focus on this rare disease, illustrating its main imaging findings, particularly in magnetic resonance imaging, along with pathological correlation, as well as reviewing the literature, discussing the differential diagnosis, and exploring clinical management and prognosis.
胃神经鞘瘤是一种罕见的、生长缓慢的肿瘤,其临床表现不具有特异性。这些肿瘤大多为良性,恶性转化概率低,预后良好。我们报告2例具有不同临床特征和影像学表现的胃神经鞘瘤,其治疗方法也有所不同。病例1是一名73岁女性,胃大弯处有一个巨大的上皮下病变,主要向腔内生长。临床上,患者表现为非特异性腹部不适,接受了完整的手术切除。病例2是一名69岁女性,胃窦旁有一个外生性病变,偶然发现,保守治疗,进行影像学随访,在过去5年中病情一直稳定。本文旨在聚焦于这种罕见疾病,阐述其主要影像学表现,尤其是磁共振成像表现,以及病理相关性,同时回顾文献,讨论鉴别诊断,并探讨临床管理和预后。