Hamidah A, Khu S Y, Thambidorai C R, Muhaizan W M, Zarina A L, Jamal R
Department of Paediatrics, Faculty of Medicine UKM, Hospital Universiti Kebangsaan Malaysia, Jalan Yaacob Latif, Bandar Tun Razak, Cheras, Kuala Lumpur, 56000, Malaysia.
Pediatr Surg Int. 2007 Jun;23(6):601-3. doi: 10.1007/s00383-006-1823-4. Epub 2006 Oct 25.
A 13-year-old boy who had epigastric pain and pallor for 2 months and found to have an ulcerative mass in the stomach and underwent partial gastrectomy. A diagnosis of inflammatory myofibroblastic tumour (IMT) of the stomach was made on histological examination. Three years later, recurrence in the stomach, with invasion into the pancreas and hilum of the spleen was noted and was managed by wide wedge resection of the stomach, distal pancreatectomy and splenectomy. The patient has been recurrence-free for the past 2 years. Gastric IMT is an uncommon tumour in children with unpredictable prognosis.
一名13岁男孩,上腹部疼痛、面色苍白2个月,检查发现胃内有溃疡性肿块,遂行胃部分切除术。组织学检查诊断为胃炎性肌纤维母细胞瘤(IMT)。三年后,发现胃部复发,侵犯至胰腺和脾门,遂行胃广泛楔形切除术、远端胰腺切除术和脾切除术。该患者在过去2年中无复发。胃IMT在儿童中是一种罕见肿瘤,预后难以预测。