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Case reports on a gastric mass presenting with regional lymphadenopathy: A differential diagnosis is gastric schwannoma.
Int J Surg Case Rep. 2020; 72:369-372.IJ

Abstract

BACKGROUND

Gastric schwannomas are uncommon among a broad range of possible diagnoses in the work up of a gastric mass. Regional lymphadenopathy associated with gastric schwannoma is an even less common occurrence and one would otherwise suspect a malignant neoplasm.

CASE PRESENTATION

We present two non-consecutive cases from a signle academic center depicting Caucasian females in their 5th and 6th decades of life with gastric schwannoma and adjacent lymphadenopathy. Multiple lymph node excisions were performed without evidence of neoplasia.

DISCUSSION

Lymphadanopathy in the presence of a gastric mass typically represents malignant neoplasm. A less than likely presentation of gastric schwannoma with reactive regional lymph nodes poses a challenge to adequate preoperative diagnosis and increases risk for a more aggressive than necessary surgical approach with lymphadenectomy.

CONCLUSION

While the correlation between gastric schwannoma and lymphadenopathy is uncertain, this ought to be considered. If diagnosis can be confirmed preoperatively, omission of lymphadenectomy is appropriate.

Authors+Show Affiliations

Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA. Electronic address: Moshim.Kukar@roswellpark.org.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

32563823

Citation

Wadhawan, Arnav, et al. "Case Reports On a Gastric Mass Presenting With Regional Lymphadenopathy: a Differential Diagnosis Is Gastric Schwannoma." International Journal of Surgery Case Reports, vol. 72, 2020, pp. 369-372.
Wadhawan A, Brady M, LeVea C, et al. Case reports on a gastric mass presenting with regional lymphadenopathy: A differential diagnosis is gastric schwannoma. Int J Surg Case Rep. 2020;72:369-372.
Wadhawan, A., Brady, M., LeVea, C., Hochwald, S., & Kukar, M. (2020). Case reports on a gastric mass presenting with regional lymphadenopathy: A differential diagnosis is gastric schwannoma. International Journal of Surgery Case Reports, 72, 369-372. https://doi.org/10.1016/j.ijscr.2020.05.098
Wadhawan A, et al. Case Reports On a Gastric Mass Presenting With Regional Lymphadenopathy: a Differential Diagnosis Is Gastric Schwannoma. Int J Surg Case Rep. 2020;72:369-372. PubMed PMID: 32563823.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Case reports on a gastric mass presenting with regional lymphadenopathy: A differential diagnosis is gastric schwannoma. AU - Wadhawan,Arnav, AU - Brady,Maureen, AU - LeVea,Charles, AU - Hochwald,Steven, AU - Kukar,Moshim, Y1 - 2020/06/12/ PY - 2019/08/30/received PY - 2020/05/28/revised PY - 2020/05/29/accepted PY - 2020/6/22/pubmed PY - 2020/6/22/medline PY - 2020/6/22/entrez KW - Gastric mass with regional lymphadenopathy KW - Gastrointestinal schwannoma KW - Gastrointestinal stromal tumor KW - Neurilemmoma KW - Neurinoma KW - Schwannoma SP - 369 EP - 372 JF - International journal of surgery case reports JO - Int J Surg Case Rep VL - 72 N2 - BACKGROUND: Gastric schwannomas are uncommon among a broad range of possible diagnoses in the work up of a gastric mass. Regional lymphadenopathy associated with gastric schwannoma is an even less common occurrence and one would otherwise suspect a malignant neoplasm. CASE PRESENTATION: We present two non-consecutive cases from a signle academic center depicting Caucasian females in their 5th and 6th decades of life with gastric schwannoma and adjacent lymphadenopathy. Multiple lymph node excisions were performed without evidence of neoplasia. DISCUSSION: Lymphadanopathy in the presence of a gastric mass typically represents malignant neoplasm. A less than likely presentation of gastric schwannoma with reactive regional lymph nodes poses a challenge to adequate preoperative diagnosis and increases risk for a more aggressive than necessary surgical approach with lymphadenectomy. CONCLUSION: While the correlation between gastric schwannoma and lymphadenopathy is uncertain, this ought to be considered. If diagnosis can be confirmed preoperatively, omission of lymphadenectomy is appropriate. SN - 2210-2612 UR - https://www.unboundmedicine.com/medline/citation/32563823/Case_reports_on_a_gastric_mass_presenting_with_regional_lymphadenopathy:_A_differential_diagnosis_is_gastric_schwannoma L2 - https://linkinghub.elsevier.com/retrieve/pii/S2210-2612(20)30418-1 DB - PRIME DP - Unbound Medicine ER -
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