Rollins Katie E, Mehta Samir P, O'Donovan Maria, Safranek Peter M
Department of Upper Gastrointestinal Surgery, Addenbrooke's Hospital, Hills Road, Cambridge, CB2 0QQ, UK.
ISRN Gastroenterol. 2011;2011:873087. doi: 10.5402/2011/873087. Epub 2010 Nov 7.
We describe the first reported case of an IgG4-related autoimmune fibrosclerosing pseudotumour located in the stomach of a 75-year old woman presenting with weight loss and vomiting. A lesion was detected in the gastric body at endoscopy. Subsequent characterisation by CT was suggestive of a gastrointestinal stromal tumour. Following laparoscopic resection, the patient recovered uneventfully. Histological examination of the resected specimen revealed an IgG4-related fibrosclerosing pseudotumour, a novel location for this histopathological entity.
我们描述了首例报告的IgG4相关自身免疫性纤维硬化性假瘤病例,该病例发生在一名75岁女性的胃中,患者表现为体重减轻和呕吐。在内镜检查中发现胃体有病变。随后通过CT检查提示为胃肠道间质瘤。经腹腔镜切除后,患者恢复顺利。对切除标本进行组织学检查发现是IgG4相关纤维硬化性假瘤,这是该组织病理学实体的一个新发病部位。