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Cellular schwannoma arising from the gastric wall misdiagnosed as a gastric stromal tumor: A case report

机译:由胃壁引起的细胞性神经鞘瘤被误诊为胃间质瘤:一例报告

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摘要

Cellular schwannomas have been previously described at almost every anatomic location of the human body, but reports in the gastric wall are rare. The current study presents a rare case of cellular schwannoma originating from the gastric wall. Computed tomography revealed a 5.6×5.3×4.0-cm3 solid mass located in the posterior wall of the stomach. Open laparotomy confirmed its mesenchymal origin. Microscopically, the tissue was composed of spindle-shaped and fascicularly-arranged cells, but mitotic figures were rare. Immunohistochemical staining showed that the tumor was negative for cluster of differentiation (CD)117, CD34, smooth muscle actin and desmin, but positive for S-100 and Ki67. The patient presented no evidence of recurrence and metastasis during follow-up. Gastric cellular schwannomas may be diagnosed by clinical characteristics, histological observations and immunohistochemical markers.
机译:先前已经在人体的几乎每个解剖位置描述了细胞神经鞘瘤,但是在胃壁的报道很少。当前的研究提出了一种罕见的源于胃壁的细胞性神经鞘瘤病例。计算机体层摄影术显示位于胃后壁的5.6×5.3×4.0-cm 3 固体。开腹剖腹证实了其间充质起源。在显微镜下,组织由纺锤形和簇状排列的细胞组成,但有丝分裂图很少。免疫组织化学染色显示,肿瘤的分化簇(CD)117,CD34,平滑肌肌动蛋白和结蛋白阴性,而S-100和Ki67阳性。该患者在随访期间未见复发和转移的迹象。胃细胞神经鞘瘤可通过临床特征,组织学观察和免疫组化标记物进行诊断。

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