Uludag M, Citgez B, Polat N
Second Department of General Surgery, Sisli Etfal Training and Research Hospital, Sisli Istanbul, Turkey.
Acta Chir Belg. 2008 Jul-Aug;108(4):451-3. doi: 10.1080/00015458.2008.11680261.
Inflammatory myofibroblastic tumour (IMT) is a rare benign lesion of unknown aetiology. It mimics, clinically and radiologically, malignant tumours (especially sarcoma). It was initially described in the lung, but it was subsequently recognised that virtually any anatomic location can be involved. IMTs of the gastro-intestinal tract are rare and there have been only nine confirmed cases involving the appendix to date. We presented a 20-year-old male patient with a diagnosis of IMT that caused acute appendicitis. An appendectomy is the most efficient treatment in cases where the lesion is limited to the appendix. Being aware of such an entity and being careful in the differential diagnosis of the appendiceal masses, especially the large masses, may prevent overtreatment.
炎性肌纤维母细胞瘤(IMT)是一种病因不明的罕见良性病变。在临床和放射学上,它酷似恶性肿瘤(尤其是肉瘤)。它最初在肺部被描述,但随后人们认识到几乎任何解剖部位都可能受累。胃肠道的IMT很罕见,迄今为止仅有9例累及阑尾的确诊病例。我们报告了一名20岁男性患者,诊断为IMT并导致急性阑尾炎。在病变局限于阑尾的情况下,阑尾切除术是最有效的治疗方法。认识到这种疾病实体,并在鉴别诊断阑尾肿物时,尤其是较大肿物时保持谨慎,可能会避免过度治疗。