JOURNAL OF KAOHSIUNG MEDICAL ASSOCIATION 2015. vol. 23, No.

schwannoma

Schwann cell

acoustic neuroma

...

gastrointestinal stromal

schwannoma

tumors, GISTs

gastric schwannoma

Schwann cell

schwannoma

0.2%

(gastrointestinal stromal

31

tumor-GIST)

dL, normal range:12.3~15.3g/

60-70%

dL;

normal range:35.9~44.6%;

mean corpuscular volume = 93

schwannoma

femtoliters,normal range:

(gastrointestinal stromal

80.0~96.1 femtoliters).

tumor-GIST)

(Ferritin = 70.7 ng/mL, normal

77

range: 11~307 ng/mL; Seriumiron

= 31 ug/dL, normal range: 28~170

ug/dL; TIBC= 299.6 ug/dL, normal

range: 250~450 ug/dL).

(gastrointestinal stromal

tumor-GIST)

schwannoma

hematocrit

34.0%,

(Fig. 1a).

20

negative pillow

sign

(Fig.1b)

(hemoglobin = 11.1 g/

32

 JOURNAL OF KAOHSIUNG MEDICAL ASSOCIATION 2015. vol. 23, No.1

7.7 x 5.2x 5.5

(Fig. 2)

schwannoma

GIST

Schwann cell

CA125, CA

19-9AFP and CEA

1Auerbach

Meissner2

(Fig. 3a)

1988Daimaru

7.26.5 5.2 cm

GISTS-100

in size (Fig. 3b)

2S-100

c-kit(CD117)

(Fig. 4)H&E

schwannoma

(GIST)

(Fig. 5)

gastrointestinal

S-100 protein (Fig.

mesenchymaltumors (GIMTs)

6)CD117, CD34, DOG-1,

myogenic tumorsneurogenic

desminactin

tumors and gastrointestinal

stromal tumors-GIST

S-100

33

CD117CD34DOG-1 desmin and

actin

schwannoma

schwannoma

schwannoma50-60

(endoscopic ultrasound-EUS)

(GIST)

(schwannoma)

(hematocrit = 34.0% normal

range: 35.9~44.6%)

schwannoma-GS

Celiac

(GIST)

6Fluorodeoxyglucose (FDG)

GSFDG

7GS

FDG

GS

34

 JOURNAL OF KAOHSIUNG MEDICAL ASSOCIATION 2015. vol. 23, No.1

5,8,9

MY, Cai JT. Endoscopic ultrasound

features of gastric schwannomas with

10

radiological correlation: a case series

report. World J Gastroenterol 2012;18:

7397-401.

5.Bruneton JN, Drouillard J, Roux P,

Ettore F, Lecomte P. Neurogenic tumors

of the stomach. Report of 18 cases and

review of the literature. Rofo 1983; 139:

192-8.

6.Choi JW, Choi D, Kim KM, et al. Small

submucosal tumors of the stomach:

differentiation of gastric schwannoma

from gastrointestinal stromal tumor

with CT. Korean J Radiol 2012; 13:

425-33.

1.Voltaggio L, Murray R, Lasota J,

7.Komatsu D, Koide N, Hiraga R, et

Miettinen M. Gastric schwannoma: a

al. Gastric schwannoma exhibiting

clinicopathologic study of 51 cases and

increased fluorodeoxyglucose uptake.

critical review of the literature. Hum

Gastric Cancer 2009; 12: 225-8.

Pathol 2012; 43: 650-9.

8. Fujiwara S, Nakajima K, Nishida T, et

2.Daimaru Y, Kido H, Hashimoto H,

al. Gastric schwannomas revisited: has

Enjoji M. Benign schwannoma of the

precise preoperative diagnosis become

gastrointestinal tract: a clinicopathologic

feasible? Gastric Cancer 2013; 16: 318-

and immunohistochemical study. Hum

23.

Pathol 1988; 19: 257-64.

9.Hong SW, Cho WY, Kim JO, et al.

3.Liu K, Kaffes AJ. Iron deficiency

Gastric schwannoma diagnosed by

anaemia: a review of diagnosis,

endoscopic ultrasonography-guided

investigation and management. Eur J

trucut biopsy. Clin Endosc 2013; 46:

Gastroenterol Hepatol 2012; 24: 109-16.

284-7.

4. Zhong DD, Wang CH, Xu JH, Chen

10.Williamson JM, Wadley MS, Shepherd

35

NA, Dwerryhouse S. Gastric schwannoma:

a gastrointestinal stromal tumour--a case

a benign tumour often mistaken clinically,

series. Ann R Coll Surg Engl 2012; 94:

radiologically and histopathologically for

245-9.

Fig.1b

Fig.1a

(Fig. 1a).

(1a) (Fig.1b)

Fig.2
7.75.25.5

36

 JOURNAL OF KAOHSIUNG MEDICAL ASSOCIATION 2015. vol. 23, No.1

Fig.3b

Fig.3a

(Fig. 3a)
7.2 6.5 5.2 cm in size (Fig. 3b)

Fig.4

Fig.5

(Fig. 4)H&E
(Fig. 5)

Fig.6
S-100 protein (Fig. 6)

37