引用文本：吴嘉鑫, 伊绍雄, 侯浩斌, 等. 胃神经鞘瘤1例并文献复习[J/CD]. 消化肿瘤杂志（电子版）, 2026, 18(3): 468-472.

作者：吴嘉鑫，伊绍雄，侯浩斌，姜建龙，杨东杰

单位：中山大学附属第七医院 消化医学中心，广东 深圳 518107

Authors：Wu Jiaxin, Yi Shaoxiong, Hou Haobin, Jiang Jianlong, Yang Dongjie

Unit：Digestive Medicine Center, the Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen 518107, Guangdong, China

摘要：

胃神经鞘瘤（gastric schwannoma, GS）是起源于胃壁肌间神经丛施万细胞的罕见间叶源性肿瘤，多为良性，临床上易与胃间质瘤（gastrointestinal stromal tumor, GIST）、胃平滑肌瘤（gastric leiomyoma, GLM）等黏膜下肿瘤混淆。本文报道1例GS，该患者术前经胃镜活检、超声内镜、增强计算机断层扫描（computed tomography, CT）检查确诊，并接受机器人手术切除肿瘤，临床疗效良好。本文结合文献，对包括超声内镜、增强CT和磁共振成像在内的GS影像学特点、病理特征、手术治疗方法等进行阐述，以期提高GS的术前诊断率，同时初步探索机器人手术切除的可行性。

关键词：胃神经鞘瘤；胃间质瘤；胃平滑肌瘤；影像学检查；机器人手术

Abstract：

Gastric schwannoma (GS) is a rare mesenchymal tumor arising from Schwann cells of the myenteric plexus within the gastric wall. It is mostly benign and is easily confused clinically with other submucosal tumors, such as gastrointestinal stromal tumor (GIST) and gastric leiomyoma (GLM). Herein, we report a case of GS. The patient was preoperatively diagnosed by gastroscopic biopsy, endoscopic ultrasonography, and contrast-enhanced computed tomography, and underwent robotic surgical resection with a favorable clinical outcome. Combined with a literature review, this article elaborates on the imaging features (including endoscopic ultrasonography, contrast-enhanced computed tomography, and magnetic resonance imaging), pathological characteristics, and surgical treatment modalities of GS, aiming to improve the preoperative diagnostic rate of GS and preliminarily explore the feasibility of robotic resection for this tumor.

Key words：Gastric schwannoma; Gastrointestinal stromal tumor; Gastric leiomyoma; Imaging examination; Robotic surgery

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