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Endoscopic ultrasound‐guided fine‐needle aspiration biopsy of gastric schwannoma: Cytomorphologic features and diagnostic pitfalls
Author(s) -
Chen Wanwan,
Cai Guoping
Publication year - 2019
Publication title -
diagnostic cytopathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.417
H-Index - 65
eISSN - 1097-0339
pISSN - 8755-1039
DOI - 10.1002/dc.24289
Subject(s) - medicine , endoscopic ultrasound , fine needle aspiration , pathology , schwannoma , cd34 , biopsy , stomach , cd117 , radiology , stem cell , genetics , biology
Schwannoma rarely occurs in the stomach. We present a case of gastric schwannoma, which was initially evaluated by endoscopic ultrasound‐guided fine‐needle aspiration (EUS‐FNA) biopsy and confirmed by surgical resection. The patient was a 57‐years‐old woman with history of dyspepsia, who was found to have a large submucosal mass in the stomach. EUS‐FNA showed scant spindle cells with abundant lymphocytes. The spindle cells were immunoreactive with S100, while negative for CD117, desmin, and CD34. The lymphocytes were mixed B‐cells and T‐cells. Immunostaining, flow cytometry, and molecular testing showed no evidence of B‐cell lymphoma. The diagnosis of gastric schwannoma was confirmed by histopathological evaluation of the resected tumor. Gastric schwannoma has unique features of mixed spindle cells and lymphocytes. The tumor should be differentiated from other gastric mesenchymal tumors, and lymphoproliferative disorder is a pitfall.