胃壁富于细胞性神经鞘瘤误诊为胃间质瘤的临床分析
Clinical analysis of cellular schwannoma in the gastric wall misdiagnosed as gastric stromal tumor
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摘要:
富于细胞性神经鞘瘤是一种少见的周围神经良性肿瘤。该肿瘤主要由交织束状排列的梭形细胞组成,缺乏典型神经鞘瘤中常见的网状区和栅栏状排列等结构,瘤细胞较丰富,核染色质粗、深染,并可显示一定的多形性。因此,本病极易被误诊为各种类型的梭形细胞肉瘤,发生于腹腔内还可被误认为胃肠道间质瘤,给患者带来不必要的过度治疗。本文报道1例误诊的胃壁富于细胞性神经鞘瘤,分析该病的临床特点、诊断及治疗。
Abstract:Cellular schwannoma is a rare benign tumor of the peripheral nerves. The tumor is consist of spindle cells which arranged in interwoven bundles, and lacking the mesh district and palisading structure. The tumor cells are abundant, with coarse chromatin, deeply stained nuclei and in multiforms. So the tumor may easily be misdiagnosed as various types of spindle cell sarcoma. Intraperitoneal cellular schwannoma may also be mistaken as gastrointestinal stromal tumors. In this article, the clinical characteristics, diagnosis and treatment of cellular schwannoma were analyzed based on the clinical data of a patient with cellular schwannoma in the gastric wall misdiagnosed as gastric stromal tumor.