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Gastroenterology & Hepatology

Gastric Schwannoma

ICD-10 Code
D21.4_1

Gastric Schwannoma - Clinical guidelines.

Clinical Presentation & Protocol

Patient Usually Complains Of

Patient presents with a history of [epigastric pain/discomfort/early satiety/melena]. Incidental finding of a gastric submucosal lesion on [EGD/CT/EUS]. No history of weight loss, dysphagia, or constitutional symptoms. Lesion characteristics: [size/location/morphology].

Clinical Examination Findings

Abdominal examination reveals [soft/non-tender/non-distended] abdomen. No palpable masses or organomegaly. Bowel sounds are normal. EUS findings: Hypoechoic, homogeneous, well-circumscribed lesion arising from the [submucosa/muscularis propria], consistent with schwannoma.

Treatment Protocol

Recommended management: [Surgical resection (wedge resection/gastrectomy) / Endoscopic resection (ESD/EFTR)]. Post-procedural plan: Histopathological confirmation via immunohistochemistry (S-100 protein positive, CD117/DOG1 negative). Routine follow-up for monitoring recurrence.

Detailed clinical guide coming soon.