Progress of Digestive Endoscopy
Online ISSN : 2187-4999
Print ISSN : 1348-9844
ISSN-L : 1348-9844
症例
診断に難渋した潰瘍形成型の胃神経鞘腫の1例
佐々木 善浩木谷 幸博上條 孟島田 祐輔林 昌武大野 志乃上市 英雄平野 和彦川村 紀夫
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キーワード: 神経鞘腫, 胃粘膜下腫瘍
ジャーナル フリー

2017 年 90 巻 1 号 p. 98-99

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A 50 year-old woman was found to have gastric submucosal tumor with central ulceration, was observed in the greater curvature by upper gastrointestinal endoscopy. Biopsy was done but pathological diagnosis was not obtained.
A hypoechoic, partially non-echoic mass was observed by EUS and EUS-FNA was performed, but pathological diagnosis could not be made. Gastrointestinal stromal tumor was suspected, and Laparoscopy and Endoscopy Cooperative Surgery was done. Pathological examination was observed dense growth of spindle-shaped cells. Immunohistochemical staining were S100 (+) , CD117 (-) , CD34 (-) , desmin (-) , so it was diagnosed gastric schwannoma.
We present a rare case of gastric schwannoma, whose diagnosis was established histologically after surgery.

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© 2017 一般社団法人 日本消化器内視鏡学会 関東支部
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