Sen Gupta R
Abteilung für Pathologie des Allgemeinen Krankenhauses Altona, Hamburg.
Pathologe. 2001 Sep;22(5):333-8. doi: 10.1007/s002920100473.
Inflammatory fibroid polyps of the gastrointestinal tract represent a relatively rare entity. Although the histopathological classification, the etiology and the pathogenesis of this lesion remains unclear, the biological dignity is commonly understood as benign. Nevertheless, these polyps are able to cause gastrointestinal bleeding, intestinal obstruction or intussusception which often provides the indication for surgical treatment. In endoscopical biopsies unexpected difficulties for the pathologist may arise from the fact that these uncommon lesions often show a submucosal growth pattern. With reference to two case reports, the clinical, diagnostic and histopathological aspects of inflammatory fibroid polyps will be discussed. An additional literature review of the etiology, immunohistochemistry and differential diagnosis is presented.
胃肠道炎性纤维性息肉是一种相对罕见的病变。尽管这种病变的组织病理学分类、病因及发病机制仍不清楚,但通常认为其生物学特性为良性。然而,这些息肉能够导致胃肠道出血、肠梗阻或肠套叠,这常为手术治疗提供指征。在内镜活检中,病理学家可能会遇到意想不到的困难,因为这些不常见的病变常呈黏膜下生长模式。结合两例病例报告,将讨论炎性纤维性息肉的临床、诊断及组织病理学方面。此外,还将对病因、免疫组织化学及鉴别诊断进行文献综述。