病例报告：一名唐氏综合征患者的胰腺来源炎性肌纤维母细胞瘤：诊断性超声的作用
Case report: Inflammatory myofibroblastic tumor of pancreatic origin in a patient with down syndrome: The role of diagnostic ultrasound.
作者信息
Colangelo M, Di Renzo D, Persico A, Chiesa P Lelli
机构信息
Pediatric Surgical Unit, "G. d'Annunzio" University of Chieti, "Spirito Santo" Hospital of Pescara, Italy.
出版信息
J Ultrasound. 2011 Mar;14(1):7-9. doi: 10.1016/j.jus.2010.11.003. Epub 2010 Dec 15.
INTRODUCTION
Inflammatory myofibroblastic tumor (IMT) is a benign solid tumor of uncertain etiology.
MATERIALS AND METHODS
We report a case of a 4-year-old Down syndrome affected child, who had a pancreatic mass identified by ultrasonography (US) and confirmed by computed tomography (CT).
RESULTS
Monitoring of IMT was performed by serial US studies, and at follow-up after 4 years there was no relapse.
DISCUSSION
As radical removal of the lesion was not possible, the patient was successfully treated with nonsteroidal anti-inflammatory drugs (NSAIDs). It was decided to monitor the lesion by serial US in order to reduce the number of CT examinations and thereby avoid excessive exposure to ionizing radiation. It is widely reported in the literature that repeated CT scans are associated with increased exposure to radiation which may cause cancer, a fact which should not be overlooked in children.
引言
炎性肌纤维母细胞瘤（IMT）是一种病因不明的良性实体瘤。
材料与方法
我们报告一例4岁患唐氏综合征的儿童，其胰腺肿物经超声（US）检查发现，并经计算机断层扫描（CT）确诊。
结果
通过系列超声研究对IMT进行监测，4年后随访未发现复发。
讨论
由于无法彻底切除病变，患者成功接受了非甾体抗炎药（NSAIDs）治疗。决定通过系列超声监测病变，以减少CT检查次数，从而避免过度暴露于电离辐射。文献广泛报道，重复进行CT扫描会增加辐射暴露，这可能导致癌症，这一事实在儿童中不容忽视。
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