Evidence map›Paper›PMID 41536645›Full record

ArticleDEN open2026

Hybrid Nerve Sheath Tumor Detected by Endoscopic Full-Thickness Resection for a Gastric Subepithelial Lesion: A Case Report.

Mai Fukuda, Masakuni Kobayashi, Miku Maeda, Mamoru Ito, Naoya Tada, Toshiki Futakuchi, Naoto Tamai, Nei Fukasawa, Masayuki Shimoda, Kazuki Sumiyama

Abstract read
In one paragraph

Article in DEN open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Mai FukudaDepartment of Endoscopy The Jikei University School of Medicine Tokyo Japan.ORCID https://orcid.org/0009-0001-4277-3904
Masakuni KobayashiDepartment of Endoscopy The Jikei University School of Medicine Tokyo Japan.
Miku MaedaDepartment of Pathology The Jikei University School of Medicine Tokyo Japan.
Mamoru ItoDepartment of Endoscopy The Jikei University School of Medicine Tokyo Japan.ORCID https://orcid.org/0000-0002-2291-8600
Naoya TadaDepartment of Endoscopy The Jikei University School of Medicine Tokyo Japan.
Toshiki FutakuchiDepartment of Endoscopy The Jikei University School of Medicine Tokyo Japan.
Naoto TamaiDepartment of Endoscopy The Jikei University School of Medicine Tokyo Japan.
Nei FukasawaDepartment of Pathology The Jikei University School of Medicine Tokyo Japan.
Masayuki ShimodaDepartment of Pathology The Jikei University School of Medicine Tokyo Japan.
Kazuki SumiyamaDepartment of Endoscopy The Jikei University School of Medicine Tokyo Japan.ORCID https://orcid.org/0000-0002-7976-6070

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hybrid nerve sheath tumors (HNSTs) are exceedingly rare in the gastrointestinal tract, particularly in the stomach. We describe a case of an enlarging gastric subepithelial lesion (SEL) that was accurately diagnosed and curatively treated by endoscopic full-thickness resection (EFTR). A 50-year-old woman presented with a 10 mm SEL on the posterior wall of the upper gastric curvature. Endoscopic ultrasound (EUS) revealed a low-hypoechoic lesion primarily originating from the third layer with focal, indistinct borders with the muscularis propria. Initial boring biopsy suggested a granular cell tumor based on morphology and SOX10/S100 positivity. Six months later, the lesion had enlarged to 15 mm, and EFTR under general anesthesia with laparoscopic backup was selected to obtain a full-thickness specimen. En bloc resection was successfully achieved, and the defect was completely closed with clips. Histopathological and immunohistochemical examinations revealed biphasic Schwann and perineurial differentiation, confirming a hybrid schwannoma/perineurioma. The postoperative course was uneventful, and no recurrence was observed during the 22-month follow-up. This case highlights the diagnostic value of EFTR for rare neurogenic SELs in which superficial biopsy may be inconclusive.

Indexed as

endoscopic full‐thickness resectionendoscopic ultrasoundgastric subepithelial lesionhybrid nerve sheath tumorhybrid schwannoma–perineurioma

Identifiers

PMID41536645
PMCPMC12797082

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.