Corapçioğlu Funda, Kargi Aydanur, Olgun Nur, Ozer Erdener, Olguner Mustafa, Sarialioğlu Faik
Department of Pediatric Oncology, Faculty of Medicine, Kocaeli University, Izmit, Derince, Turkey.
Surg Today. 2005;35(8):687-91. doi: 10.1007/s00595-005-2992-9.
An inflammatory myofibroblastic tumor is an uncommon benign tumor located in various organs that can be misdiagnosed as a malignant neoplasm. We herein present two patients with ileocecal inflammatory myofibroblastic tumors. An abdominal mass was detected in a 13-year-old girl and a 15-year-old boy who presented with paleness, fatigue, intermittent fever, and night sweating. The radiological findings confirmed a mass originating from the ileocecal region. The presumptive diagnosis was Burkitt's lymphoma. The histopathological diagnosis was inflammatory myofibroblastic tumor. After a surgical resection, all systemic symptoms rapidly resolved. Inflammatory myofibroblastic tumor is a rare pseudosarcomatous clinical and pathological entity. Although this tumor is more commonly reported in the lung, it can be detected in extrapulmonary sites, including the mesentery. Because the choice of treatment for this tumor is conservative surgery, an accurate preoperative analysis is important to avoid any unnecessary aggressive surgical intervention or other therapeutic approaches.
炎性肌纤维母细胞瘤是一种罕见的良性肿瘤，可位于多种器官，易被误诊为恶性肿瘤。我们在此报告两例回盲部炎性肌纤维母细胞瘤患者。一名13岁女孩和一名15岁男孩出现面色苍白、乏力、间歇性发热和盗汗，检查发现腹部肿块。影像学检查结果证实肿块起源于回盲部。初步诊断为伯基特淋巴瘤。组织病理学诊断为炎性肌纤维母细胞瘤。手术切除后，所有全身症状迅速缓解。炎性肌纤维母细胞瘤是一种罕见的假肉瘤性临床和病理实体。尽管该肿瘤在肺部更为常见，但也可在肺外部位发现，包括肠系膜。由于该肿瘤的治疗选择是保守手术，准确的术前分析对于避免任何不必要的激进手术干预或其他治疗方法很重要。
