[Laparoscopic Local Gastrectomy for Gastric Schwannoma and Extramurally Developed Gastric GIST]

Gan To Kagaku Ryoho. 2020 Dec;47(13):2153-2155.
[Article in Japanese]

Abstract

Among gastric submucosal tumors, neurogenic tumors are considered to be rare diseases. We experienced a case of laparoscopic local gastrectomy of gastric schwannoma coexisting with extramurally developed gastric GIST found accidentally during surgery. A 61-year-old man was pointed out a gastric submucosal tumor with a diameter of 15 mm in a medical checkup. Endoscopic ultrasound-guided fine needle aspiration(EUS-FNA)was performed, and immunostaining showed that c-kit(-), CD34(-), S-100(+), SMA(-), MIB-1<2%. Diagnosis was gastric schwannoma. We performed laparoscopic local gastrectomy. During the surgery another extramural nodule was accidentally found with a diameter of 8 mm at the anterior wall of the gastric body near lesser curvature. Immunostaining showed c-kit(+), CD34(+)and was diagnosed GIST. Because a gastric schwannoma coexisting with GIST is a rare case, we decided to report it by adding discussion with some literatures.

Publication types

  • Case Reports

MeSH terms

  • Gastrectomy
  • Gastrointestinal Stromal Tumors* / surgery
  • Humans
  • Laparoscopy*
  • Male
  • Middle Aged
  • Neurilemmoma* / surgery
  • Stomach Neoplasms* / surgery