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Not ery small bowel submucosal mass is a GIST A rare case of small bowel schwannoma



Not ery small bowel submucosal mass is a GIST A rare case of small bowel schwannoma



Annali Italiani di Chirurgia 87



Gli schwannomi sono dei tumori solidi a lenta crescita, che raramente si localizzano nel tratto gastro-intestinale. Quando vengono identificati, solitamente la loro localizzazione è gastrica. Il riscontro di queste lesioni a livello del piccolo intestino è estremamente rara, se non aneddotica. In questo articolo, presentiamo il case-report di un paziente di 47 anni che era stato operato di emicolectomia sinistra per diverticoliti ricorrenti. In corso di intervento, veniva individuata una massa esofitica ad origine dalla prima ansa ileale. Tale lesione veniva asportata nel sospetto si trattasse di un GIST. L’esame istologico del pezzo operatorio ha aveva dimostrato trattarsi di schwannoma digiunale. Sfortunatamente i margini di resezione erano positivi per cui si è reso necessario riportare il paziente in sala operatoria per una resezione digiunale addizionale. Gli schwannoma del tratto gastro-intestinale hanno un’ottima prognosi dopo resezione chirurgica. E’ importante differenziarli dai GIST, che possono avere comportamento maligno nel 10-30% dei casi. Una resezione chirurgica completa con margini negativi è necessaria e rappresenta il trattamento curativo di scelta.

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Accession: 058427712

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PMID: 27713191


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