Case report: Coexistence of an esophageal schwannoma disguised as a leiomyoma with a gastrointestinal stromal tumor of the gastric fundus

Yuedong Wang ^1,2 Zhifei Xin ² Wenbo Wu ² Zhonghui Hu ² Zhenghao Jia ^1,2 Chengyao Zhang ^2,3 Yi Ma ^2,3 Xiaopeng Zhang ^2*

• ¹ Hebei Medical University, Shijiazhuang, Hebei Province, China
• ² Hebei General Hospital, Shijiazhuang, China
• ³ North China University of Science and Technology, Tangshan, Hebei Province, China

To our knowledge, this is the first reported case of coexisting esophageal schwannoma and gastric fundus gastrointestinal stromal tumor (GIST). This case report describes the diagnostic and treatment process of a patient with esophageal schwannoma who also had a concurrent gastric fundus GIST and was presented to Hebei General Hospital (Hebei, China) in October 2024. The association between the pathogenesis of the two types of submucosal gastrointestinal tumors is unclear, with limited existing evidence in the literature. The esophageal schwannoma was misdiagnosed as a leiomyoma preoperatively, which prompted us to seek new diagnostic modalities to differentiate gastrointestinal submucosal lesions (leiomyomas, GISTs, and schwannomas). Surgical resection is considered the optimal treatment for esophageal schwannoma. The patient underwent a right single-port thoracoscopic esophageal tumor resection and recovered well, subsequently being discharged smoothly from the hospital.