FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3209274803> ?p ?o ?g. }

• W3209274803 endingPage "S1071" @default.
• W3209274803 startingPage "S1071" @default.
• W3209274803 abstract "Introduction: Differentiation of gastric mesenchymal tumors without surgical intervention has been difficult historically. We present a case in which a presumed gastrointestinal stromal tumor (GIST) was diagnosed as a benign gastric schwannoma (GS) using advanced endoscopic techniques with immunohistochemical studies. Case Description/Methods: A 68-year-old woman without significant medical history presented to our clinic with progressive episodic abdominal pain, bloating, nausea, vomiting, and diarrhea. Originally diagnosed with gastroesophageal reflux, she was not finding relief with conventional medications. A comprehensive laboratory workup was significant for C. difficile which was treated with a standard course PO vancomycin. Though subsequent testing confirmed eradication of infection, symptoms persisted. Esophagogastroduodenoscopy (EGD) plus colonoscopy was performed to explore for celiac disease, inflammatory bowel disease, and microscopic colitis. EGD unveiled a submucosal gastric lesion at the incisura. Endoscopic ultrasound (EUS) revealed a 10 mm heterogenous lesion located in the submucosal layer. Two fine needle aspiration (FNA) biopsies were taken which came back negative for malignant cells. Treatments including IBguard, VSL #3 probiotics, and low FODMAP diet were then trialed; still she had no relief in symptoms. Imaging was significant for a 1.7 cm gastric mass suggestive of GIST versus leiomyoma. Reevaluation with EGD and EUS revealed the lesion had nearly doubled. Sonographic features showed a 17.6 mm x 20.4 mm hypoechoic lesion originating from the muscularis propria; five FNA biopsies were taken. Biopsies were significant for gastric mucosal cells, submucosal fragments, smooth muscle with immunopositivity for smooth muscle actin and muscle specific actin. Neither CD 117 immunopositive cells nor significant increase in the KI-67 protein were detected. Further analysis revealed a spindle cell neoplasm with peripheral lymphoid cuffing – features consistent with GS. The patient elected to undergo wedge resection of GS resulting in great improvement of symptoms.Figure 1.: EGD and EUS capture of GS. Discussion: Though our patient had significant symptoms associated with her GS, these nerve sheath tumors are typically asymptomatic and benign. The primary technique for differentiating incidentally found GS from other GI mesenchymal tumors such as GIST or leiomyomas is surgical resection followed by histologic evaluation. With advanced endoscopic techniques, patients can be saved such invasive procedures in asymptomatic disease." @default.
• W3209274803 created "2021-11-08" @default.
• W3209274803 creator A5018999618 @default.
• W3209274803 creator A5082658310 @default.
• W3209274803 date "2021-10-01" @default.
• W3209274803 modified "2023-09-25" @default.
• W3209274803 title "S2540 Gas, GIST, Or… Gastric Schwannoma? A Rare Cause of Abdominal Pain and Bloating" @default.
• W3209274803 doi "https://doi.org/10.14309/01.ajg.0000783692.62625.65" @default.
• W3209274803 hasPublicationYear "2021" @default.
• W3209274803 type Work @default.
• W3209274803 sameAs 3209274803 @default.
• W3209274803 citedByCount "0" @default.
• W3209274803 crossrefType "journal-article" @default.
• W3209274803 hasAuthorship W3209274803A5018999618 @default.
• W3209274803 hasAuthorship W3209274803A5082658310 @default.
• W3209274803 hasBestOaLocation W32092748031 @default.
• W3209274803 hasConcept C121608353 @default.
• W3209274803 hasConcept C126322002 @default.
• W3209274803 hasConcept C126838900 @default.
• W3209274803 hasConcept C142724271 @default.
• W3209274803 hasConcept C16930146 @default.
• W3209274803 hasConcept C2775922572 @default.
• W3209274803 hasConcept C2776956441 @default.
• W3209274803 hasConcept C2777007597 @default.
• W3209274803 hasConcept C2778435480 @default.
• W3209274803 hasConcept C2778451229 @default.
• W3209274803 hasConcept C2780390042 @default.
• W3209274803 hasConcept C2780580376 @default.
• W3209274803 hasConcept C2780955771 @default.
• W3209274803 hasConcept C2781143854 @default.
• W3209274803 hasConcept C2781156865 @default.
• W3209274803 hasConcept C526805850 @default.
• W3209274803 hasConcept C71924100 @default.
• W3209274803 hasConcept C90924648 @default.
• W3209274803 hasConceptScore W3209274803C121608353 @default.
• W3209274803 hasConceptScore W3209274803C126322002 @default.
• W3209274803 hasConceptScore W3209274803C126838900 @default.
• W3209274803 hasConceptScore W3209274803C142724271 @default.
• W3209274803 hasConceptScore W3209274803C16930146 @default.
• W3209274803 hasConceptScore W3209274803C2775922572 @default.
• W3209274803 hasConceptScore W3209274803C2776956441 @default.
• W3209274803 hasConceptScore W3209274803C2777007597 @default.
• W3209274803 hasConceptScore W3209274803C2778435480 @default.
• W3209274803 hasConceptScore W3209274803C2778451229 @default.
• W3209274803 hasConceptScore W3209274803C2780390042 @default.
• W3209274803 hasConceptScore W3209274803C2780580376 @default.
• W3209274803 hasConceptScore W3209274803C2780955771 @default.
• W3209274803 hasConceptScore W3209274803C2781143854 @default.
• W3209274803 hasConceptScore W3209274803C2781156865 @default.
• W3209274803 hasConceptScore W3209274803C526805850 @default.
• W3209274803 hasConceptScore W3209274803C71924100 @default.
• W3209274803 hasConceptScore W3209274803C90924648 @default.
• W3209274803 hasIssue "1" @default.
• W3209274803 hasLocation W32092748031 @default.
• W3209274803 hasLocation W32092748032 @default.
• W3209274803 hasOpenAccess W3209274803 @default.
• W3209274803 hasPrimaryLocation W32092748031 @default.
• W3209274803 hasRelatedWork W2029157843 @default.
• W3209274803 hasRelatedWork W2168378457 @default.
• W3209274803 hasRelatedWork W2913926482 @default.
• W3209274803 hasRelatedWork W2943311071 @default.
• W3209274803 hasRelatedWork W2971752310 @default.
• W3209274803 hasRelatedWork W2977830943 @default.
• W3209274803 hasRelatedWork W2978591784 @default.
• W3209274803 hasRelatedWork W2987167934 @default.
• W3209274803 hasRelatedWork W3028976792 @default.
• W3209274803 hasRelatedWork W4378782590 @default.
• W3209274803 hasVolume "116" @default.
• W3209274803 isParatext "false" @default.
• W3209274803 isRetracted "false" @default.
• W3209274803 magId "3209274803" @default.
• W3209274803 workType "article" @default.