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