Gastrointestinal schwannoma: An unusual colonic lesion mimicking adenocarcinoma

被引:16
|
作者
Wilde, Brent K. [1 ]
Senger, Jenna-Lynn [1 ]
Kanthan, Rani [1 ]
机构
[1] Royal Univ Hosp & Saskatoon Hlth Reg, Dept Pathol, Saskatoon, SK S7N 0WS, Canada
关键词
Colonic adenocarcinoma; Gastrointestinal schwannoma; Nerve sheath myxoma; STROMAL TUMORS; MUTATIONS; TRACT;
D O I
10.1155/2010/943270
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Gastrointestinal schwannoma is a rare, benign pathological entity that can mimic colonic adenocarcinoma and cause diagnostic dilemmas for treatment A case of a 68-year-old woman with colonic adenocarcinoma who was discovered to have in incidental synchronous bowel lesion that proved to be a gastrointestinal schwannoma and not a synchronous adenocarcinoma is described Gastrointestinal schwannomas are uncommon in the colorectal region, they are most often located in the stomach These spindle cell lesions are distinct from gastrointestinal stromal tumours because the tumour cells have a distinct immuno-phenotype, with strong diffuse positivity for S-100, glial fibrillar), acidic protein and vimentin, and corroborative negative staining of CD34, CD117 and smooth muscle markers Accurate diagnosis and recognition of this benign entity is, therefore, of Immense clinicopathological value for accurate planning of therapeutic strategies Gastrointestinal schwannoma is a rare, benign pathological entity that can mimic colonic adenocarcinoma and cause diagnostic dilemmas for treatment A case of a 68-year-old woman with colonic adenocarcinoma who was discovered to have in incidental synchronous bowel lesion that proved to be a gastrointestinal schwannoma and not a synchronous adenocarcmoma is described Gastrointestinal schwannomas are uncommon in the colorectal region, they are most often located in the stomach These spindle cell lesions are distinct from gastrointestinal aroma' CUMOUrs because the tumour cells have a distinct immunophenotype, with strong diffuse positivity for S-100, glial fibrillar), acidic protein and vimenun, and corroborative negative staining of CD34, CD117 and smooth muscle markers Accurate diagnosis and recognition of this benign entity is, therefore, of Immense chnicopathological value for accurate planning of therapeutic strategies
引用
收藏
页码:233 / 236
页数:4
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