Shim Eun Jung, Ahn Sung Eun, Lee Dong Ho, Park Seong Jin, Kim Youn Wha
Eun Jung Shim, Sung Eun Ahn, Dong Ho Lee, Seong Jin Park, Department of Radiology, Kyung Hee University Hospital, Graduate School, Kyung Hee University, Seoul 130-872, South Korea.
World J Gastroenterol. 2017 Mar 21;23(11):2090-2094. doi: 10.3748/wjg.v23.i11.2090.
Inflammatory fibroid polyp (IFP) is a rare benign lesion of the gastrointestinal tract. We report a case of computed tomography (CT) imaging finding of a gastric IFP with massive fibrosis. CT scans showed thickening of submucosal layer with overlying mucosal hyperenhancement in the gastric antrum. The submucosal layer showed increased enhancement on delayed phase imaging. An antrectomy with gastroduodenostomy was performed because gastric cancer was suspected, particularly signet ring cell carcinoma. The histopathological diagnosis was an IFP with massive fibrosis. The authors suggest that when the submucosal layer of the gastric wall is markedly thickened with delayed enhancement and preservation of the mucosal layer, an IFP with massive fibrosis should be considered in the differential diagnosis.
炎性纤维性息肉（IFP）是一种罕见的胃肠道良性病变。我们报告一例经计算机断层扫描（CT）成像发现的伴有大量纤维化的胃IFP病例。CT扫描显示胃窦黏膜下层增厚，其上方黏膜强化增强。黏膜下层在延迟期成像时强化增加。由于怀疑是胃癌，尤其是印戒细胞癌，遂行胃窦切除术加胃十二指肠吻合术。组织病理学诊断为伴有大量纤维化的IFP。作者建议，当胃壁黏膜下层明显增厚且有延迟强化而黏膜层保持完整时，鉴别诊断中应考虑伴有大量纤维化的IFP。
