胃神经鞘瘤伴淋巴结肿大及溃疡形成一例并文献复习
Gastric Schwannoma with Lymphadenopathy and Ulceration: A Case Report and Literature Review
DOI: 10.12677/acm.2026.1651861, PDF,    科研立项经费支持
作者: 沈光鹏：西南医科大学附属医院胃肠外科，四川 泸州；谢晨飞：四川省医学科学院·四川省人民医院(电子科技大学附属医院)胃肠外科，四川 成都；杨 洲*：西南医科大学附属医院胃肠外科，四川 泸州；四川省医学科学院·四川省人民医院(电子科技大学附属医院)胃肠外科，四川 成都
关键词: 胃神经鞘瘤；淋巴结肿大；溃疡；胃癌；免疫组化；Gastric Schwannoma； Lymphadenopathy； Ulcer； Gastric Cancer； Immunohistochemistry
摘要: 胃神经鞘瘤(gastric schwannoma, GS)是起源于胃黏膜下神经丛施万细胞的间叶性肿瘤，由于缺乏特异临床表现，常被误诊为胃肠间质瘤或胃癌。本文报告四川省人民医院诊治的1例术前影像学及相关检查高度提示恶性，但术后免疫组化证实为胃神经鞘瘤的患者，术后长期随访未见复发。结合相关文献对其临床特点及诊断要点进行分析，以期提高对该病的认识。
Abstract: Gastric schwannoma (GS) is a mesenchymal tumor arising from Schwann cells of the gastric submucosal nerve plexus. Due to the lack of specific clinical manifestations, it is often misdiagnosed as gastrointestinal stromal tumor or gastric cancer. This article reports a case from Sichuan Provincial People’s Hospital, where preoperative imaging and related examinations highly suggested malignancy, but postoperative immunohistochemistry confirmed the diagnosis as gastric schwannoma. No recurrence was observed during long-term postoperative follow-up. By reviewing relevant literature, we summarize the clinical characteristics and key diagnostic points of GS to improve clinicians’ recognition of this disease.
文章引用：沈光鹏, 谢晨飞, 杨洲. 胃神经鞘瘤伴淋巴结肿大及溃疡形成一例并文献复习[J]. 临床医学进展, 2026, 16(5): 682-687. https://doi.org/10.12677/acm.2026.1651861

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