1 Nov 2013Case Report
Synchronous occurrence of colon adenocarcinoma and gastric schwannoma. Case report and review of the literature
Antonio Cataldo 1Claudia Trombatore 2Aldo Cocuzza 1Rosalia Latino 1Giovanni Destri 1Giuseppe Petrillo 2
Affiliations
Article Info
1 Department of Colorectal Surgery, University of Catania, Catania, Italy
2 Department of Radiology, University of Catania, Catania, Italy
Ann. Ital. Chir., 2013, 84(6), 689-671;
Published: 1 Nov 2013
Copyright © 2013 Annali Italiani di Chirurgia
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
MATERIAL OF STUDY: We report a case of a 66-year-old man with a gastric schwannoma incidentally discovered during the treatment of a colon cancer. At the pre-operative computed tomography performed for the stadiation of the colonic tumor was incidentally noted the presence of a nodular tumor between the liver and the gastric wall. RESULT: A wedge resection of this gastic tumor and the surgical resection of the left colon were performed all at once. The pathological examination of the gastric neoplasia revealed a picture consistent with gastric schwannoma. DISCUSSION: Gastrointestinal schwannomas are difficult but not impossible to diagnose preoperatively although they are often asymptomatic and radiologic findings are often nonspecific. Radiological features of Gastrointestinal schwannomas described in literature are reviewed. CONCLUSIONS: The treatment of choice is complete surgical excision with free margins because of diagnostic uncertainty, and the long-term outcome is excellent as these lesions are uniformly benign.
Keywords
- Colonic adenocarcinoma
- Computed Tomography
- Gastric schwannoma
- Radiologic Features
- Surgical treatment