Sevinç A I, Unek T, Astarcioğlu H
Dokuz Eylül University School of Medicine, Dept. of Surgery, Izmir, Turkey.
Acta Chir Belg. 2010 Jan-Feb;110(1):87-9.
Inflammatory myofibroblastic tumour (IMT) is an uncommon mass lesion composed of myofibroblasts and mixed inflammatory infiltrate that rarely undergoes malignant transformation. Although IMT was originally reported in the lung, it is now recognised that it can occur in a variety of organs. Hepatic localisation of IMT is less frequent. Here we report two cases of IMT in the liver. They underwent hepatic resections with the diagnosis of FNH and Klatskin tumour. The pathological diagnosis of the tumour was IMT. We conclude that in the management of IMT in the liver, surgical excision is the primary choice, in order to obtain a definitive diagnosis as well as to relieve symptoms, and strict follow-up after surgery is required for the timely detection of recurrence.
炎性肌纤维母细胞瘤(IMT)是一种由肌成纤维细胞和混合性炎性浸润组成的罕见肿块性病变,很少发生恶性转化。尽管IMT最初是在肺部被报道,但现在人们认识到它可发生于多种器官。IMT在肝脏的定位较少见。在此,我们报告两例肝脏IMT病例。它们最初被诊断为肝局灶性结节性增生(FNH)和肝门部胆管癌(Klatskin肿瘤)并接受了肝切除术。肿瘤的病理诊断为IMT。我们得出结论,在肝脏IMT的治疗中,手术切除是首选,以便获得明确诊断并缓解症状,术后需要严格随访以及时发现复发。