成年女性胃炎性肌纤维母细胞瘤：胃出口梗阻的罕见间歇性病因
Inflammatory myofibroblastic tumor of the stomach in an adult woman: a rare intermittent cause of gastric outlet obstruction.
作者信息
Albayrak Fatih, Dursun Hakan, Albayrak Yavuz, Altas Sare, Uyanik Abdullah, Yildirim Rahsan
机构信息
Department of Internal Medicine, Faculty of Medicine, Ataturk University, Erzurum, Turkey.
出版信息
Tumori. 2010 May-Jun;96(3):492-5. doi: 10.1177/030089161009600320.
BACKGROUND
Inflammatory myofibroblastic tumor is a neoplasm of intermediate biological potential that frequently recurs and rarely metastasizes.
CASE REPORT
We report a rare case of intermittent gastric outlet obstruction by an inflammatory myofibroblastic tumor of the cardia.
RESULTS
A 56-year-old woman presented at the gastroenterology department with a two-day history of hematemesis and melena. She had intermittent nausea and vomiting complaints, which had manifested periodically for about five months. Upper gastrointestinal endoscopy demonstrated a mass of 6 cm in diameter, which was resected. Histological examination revealed ulcerated mucosal granulation-like tissue with myofibroblastic spindle cell proliferation in a storiform pattern.
CONCLUSIONS
In order to avoid unnecessary aggressive therapy, gastric IMT should be taken into account when a gastric mass accompanied by the various clinical manifestations of IMT is found in an adult.
背景
炎性肌纤维母细胞瘤是一种具有中等生物学潜能的肿瘤，常复发且很少转移。
病例报告
我们报告一例罕见的贲门炎性肌纤维母细胞瘤导致间歇性胃出口梗阻的病例。
结果
一名56岁女性因两天的呕血和黑便病史就诊于胃肠病科。她有间歇性恶心和呕吐症状，已周期性出现约五个月。上消化道内镜检查发现一个直径6厘米的肿块，予以切除。组织学检查显示为溃疡的黏膜肉芽样组织，伴有呈束状排列的肌纤维母梭形细胞增殖。
结论
为避免不必要的积极治疗，当在成人中发现伴有炎性肌纤维母细胞瘤各种临床表现的胃部肿块时，应考虑胃炎性肌纤维母细胞瘤。
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