Gastric schwannoma: Two case reports and review of the literature

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...

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Main Authors: Rodrigo Cordeiro, Margarida Morgado, Vera Oliveira, Miguel Bispo, Mireia Castillo-Martin, Celso Matos
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043323006866
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author Rodrigo Cordeiro
Margarida Morgado
Vera Oliveira
Miguel Bispo
Mireia Castillo-Martin
Celso Matos
author_facet Rodrigo Cordeiro
Margarida Morgado
Vera Oliveira
Miguel Bispo
Mireia Castillo-Martin
Celso Matos
author_sort Rodrigo Cordeiro
collection DOAJ
description 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.
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spelling doaj.art-5267d88797be4c28a0192b13b6d219192023-10-22T04:48:52ZengElsevierRadiology Case Reports1930-04332023-12-01181244654473Gastric schwannoma: Two case reports and review of the literatureRodrigo Cordeiro0Margarida Morgado1Vera Oliveira2Miguel Bispo3Mireia Castillo-Martin4Celso Matos5Department of Radiology, Hospital do Divino Espírito Santo de Ponta Delgada, Av. D. Manuel I, 9500-370 Ponta Delgada, Azores, Portugal; Corresponding author.Department of Radiology, Centro Hospitalar de São João, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, PortugalDigestive Unit, Champalimaud Clinical Center, Av. Brasília, 1400-038 Lisbon, PortugalDigestive Unit, Champalimaud Clinical Center, Av. Brasília, 1400-038 Lisbon, PortugalDepartment of Pathology, Champalimaud Clinical Center, Av. Brasília, 1400-038 Lisbon, PortugalDepartment of Radiology, Champalimaud Clinical Center, Avenida de Brasília, Lisboa 1400-038, PortugalGastric 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.http://www.sciencedirect.com/science/article/pii/S1930043323006866Gastrointestinal stromal tumorsMagnetic resonance imagingNeurilemmomaStomach neoplasms
spellingShingle Rodrigo Cordeiro
Margarida Morgado
Vera Oliveira
Miguel Bispo
Mireia Castillo-Martin
Celso Matos
Gastric schwannoma: Two case reports and review of the literature
Radiology Case Reports
Gastrointestinal stromal tumors
Magnetic resonance imaging
Neurilemmoma
Stomach neoplasms
title Gastric schwannoma: Two case reports and review of the literature
title_full Gastric schwannoma: Two case reports and review of the literature
title_fullStr Gastric schwannoma: Two case reports and review of the literature
title_full_unstemmed Gastric schwannoma: Two case reports and review of the literature
title_short Gastric schwannoma: Two case reports and review of the literature
title_sort gastric schwannoma two case reports and review of the literature
topic Gastrointestinal stromal tumors
Magnetic resonance imaging
Neurilemmoma
Stomach neoplasms
url http://www.sciencedirect.com/science/article/pii/S1930043323006866
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