Hirasaki Shoji, Matsubara Minoru, Ikeda Fusao, Taniguchi Hideaki, Suzuki Seiyuu
Second Department of Internal Medicine, Sumitomo Besshi Hospital, Niihama.
Intern Med. 2007;46(12):855-8. doi: 10.2169/internalmedicine.46.6445. Epub 2007 Jun 15.
Gastric inflammatory fibroid polyps (IFPs) are rare benign lesions that occur in the distal stomach. We describe a 56-year-old woman with Helicobacter pylori (H. pylori)-positive gastric IFP treated with eradication. Endoscopic examination revealed a submucosal tumor, 35 mm in diameter, with an ulcerated apex at the antrum. H. pylori were positive by both histology and tissue culture, and eradication (a proton pump inhibitor, amoxicillin, and clarithromycin) was performed. After 6 months, the tumor morphologically changed and decreased in size. This case suggests that H. pylori may play a role in the pathogenesis of gastric IFPs.
胃炎性纤维性息肉（IFP）是发生于胃远端的罕见良性病变。我们描述了一名56岁幽门螺杆菌（H. pylori）阳性的胃IFP女性患者，其接受了根除治疗。内镜检查发现胃窦部有一个直径35毫米的黏膜下肿瘤，顶端有溃疡。组织学和组织培养均显示H. pylori阳性，并进行了根除治疗（使用质子泵抑制剂、阿莫西林和克拉霉素）。6个月后，肿瘤形态发生改变且体积缩小。该病例提示H. pylori可能在胃IFP的发病机制中起作用。
