A Rare Case of Gastric Schwannoma: A Case Report and Literature Review

• Published in: Case reports in oncology Vol. 13; no. 1; pp. 330 - 335
• Main Authors: Yanagawa, Senichiro, Kagemoto, Kenichi, Tanji, Hidehiro, Kodama, Shinya, Takeshima, Yukio, Sumimoto, Kazuo
• Format: Journal Article
• Language: English
• Published: Basel, Switzerland S. Karger AG 01-01-2020; Karger Publishers
• Subjects: Biopsy; Case Report; Case reports; Endoscopy; gastric schwannoma; Health sciences; Hospitals; laparoscopic surgery; Laparoscopy; Proteins; Stomach; Surgery; surgical resection; Tumors; Japan; Gastric schwannoma; Surgical resection; Laparoscopic surgery
• ISSN: 1662-6575; 1662-6575
• DOI: 10.1159/000506450

In general, schwannoma is a benign and slow-glowing neoplasm that rarely occurs in the gastrointestinal tract as a submucosal tumor (SMT), with the most common site being the stomach. As gastric schwannoma (GS) is a rare tumor, there is limited data in the literature about its clinical features. The diagnosis of schwannoma can only be made by pathological examination with positive staining for S-100 protein. It is necessary to obtain an accurate diagnosis to introduce optimal treatment options preoperatively. However, a precise diagnosis of GS is difficult, even with modern imaging techniques. On the other hand, a complete resection with a negative surgical margin (R0) of GS is considered the best treatment, with an excellent prognosis. We present a case of a 66-year-old female patient who underwent laparoscopic-assisted wedge gastrectomy for gastric SMT, pathologically diagnosed as GS, with positive staining for S-100 protein and negative for c-kit and CD34. At 12-month follow-up after surgery, there was no recurrence or metastasis of GS. Our treatment is appropriate and effective in case of GS exceeding 50 mm.