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. 2023 Nov 20;15(1):117–120. doi: 10.1007/s13193-023-01847-0

Table 1.

Clinico-radiological and pathologic features of various gastric SMTs

Schwannoma Leiomyoma GIST
Age 40-50 years 50-70 years 60-65 years
Gender Female >Male Male =Female Male >Female
Site Lesser curvature >body >antrum >fundus Cardia >GE junction Greater curvature
Radiological Features (CECT Scan)

Hypodense, well- demarcated lesion with homogenous enhancement.

Exophytic or mixed growth pattern.

No haemorrhage, necrosis, cystic change or calcification.

Homogenous hypodense lesion with mild-moderate contrast enhancement.

Endoluminal growth pattern.

Large, hyper-vascular lesions with heterogenous contrast enhancement.

Predominantly exophytic growth pattern.

Haemorrhage, necrosis and cystic change.

Histopathology

Encapsulated tumours consisting of spindle cells with prominent lymphoid aggregations.

Antoni-A, Antoni-B areas

Absence of typical Verocay bodies.

Spindle cells with eosinophilic cytoplasm

Cellular morphology ranges from spindle shaped to epitheloid in character.

70% spindle- cell type,

20% epitheloid cell type,

10%-mixed type.

IHC Positive for S100, GFAP, Vimentin, Calretinin, SOX-10, PGP9.5 Positive for Desmin, SMA Positive for CD-117, CD-34, Actin
Malignant Transformation Extremely rare Extremely rare 20-30%
Treatment Surgery Surgery Surgery + TKI

GIST: gastrointestinal stromal tumor, CECT: contrast enhanced computed tomography, IHC: immunohistochemistry, TKI: Tyrosine kinase inhibitor