Rebaz M. Ali, Shkar O. Arif, Rezhen J. Rashid, Rawa M. Ali, Abubakar Ibrahim, Dana T. Gharib, Marwan A. Ghafoor, Afolabi Hafeez Abiola and 4 more
Introduction Schwannomas are slow-growing, subclinical neoplasms rarely found in the gastrointestinal tract. This study reports a schwannoma in the pyloric region of the stomach. Case presentation A 50-year-old female presented with a one-week history of epigastric pain, dark tarry stools, and nausea. Endoscopic…
Gastric Pyloric Schwannoma: A Case Report and Review of the Literature
Rebaz M. Ali, Shkar O. Arif, Rezhen J. Rashid, Rawa M. Ali, Abubakar Ibrahim, Dana T. Gharib, Marwan A. Ghafoor, Afolabi Hafeez Abiola and 4 more
IntroductionSchwannomas are slow-growing, subclinical neoplasms rarely found in the gastrointestinal tract. This study reports a schwannoma in the pyloric region of the stomach.
Case presentationA 50-year-old female presented with a one-week history of epigastric pain, dark tarry stools, and nausea. Endoscopic examination and biopsy confirmed the diagnosis of gastric schwannoma. The patient underwent surgical resection of the tumor. Histopathological examination showed benign spindle cells with strong S100 positivity, confirming schwannoma. Post-operative follow-up included treatment for H. pylori infection and monitoring for recurrence or complications. No recurrence was reported after six months.
Literature ReviewGastric schwannoma is challenging to distinguish from other submucosal tumors preoperatively. Reviews of recent case reports indicate the importance of detailed imaging in diagnosis, and surgical resection remains the treatment of choice, with an excellent prognosis and low recurrence rates.
ConclusionSchwannoma is rare in the stomach, especially in the pyloric region. Definitive diagnosis may require immunohistochemical analysis. Appropriate follow-up after treatment can be essential to identify emerging complications and ensure timely intervention.
Abdulwahid M. Salih, Lana R.A. Pshtiwan, Ari M. Abdullah, Aras J. Qaradakhy, Fahmi H. Kakamad, Halkawt Omer Ali, Karzan M. Salih, Hawbash M. Rahim and 3 more
Abstract Introduction Fibroadenomas are the most frequent cause of palpable breast lumps in young women. Although it’s a benign lesion, malignancy can occur in extremely rare cases; this risk is higher in complex fibroadenomas and in patients with a family history of the disease. The aim of the current study is to…
Carcinoma in Situ Raised from Fibroadenoma: A Case Series of a Rare Combination
Abdulwahid M. Salih, Lana R.A. Pshtiwan, Ari M. Abdullah, Aras J. Qaradakhy, Fahmi H. Kakamad, Halkawt Omer Ali, Karzan M. Salih, Hawbash M. Rahim and 3 more
IntroductionFibroadenomas are the most frequent cause of palpable breast lumps in young women. Although it’s a benign lesion, malignancy can occur in extremely rare cases; this risk is higher in complex fibroadenomas and in patients with a family history of the disease. The aim of the current study is to report a case series of rare combination of two breast tumors (carcinoma in situ within fibroadenoma).
MethodsThis is a retrospective case series study. The cases were managed in a single private center specific for breast diseases. They were evaluated and treated during the four previous years (January 2018-May 2022). It included all patients who had a fibroadenoma with malignant changes.
ResultsThe study included nine cases. The mean age was 41 years ranged from 31 to 51 years. Six cases were ductal carcinoma in situ within fibroadenoma and three cases were lobular carcinoma in situ.
ConclusionAlthough fibroadenomas are the most common benign breast mass, it is rarely associated with malignant transformation.
