经腹腔镜联合内镜胃楔形切除术治疗胃炎性肌纤维母细胞瘤：病例报告。
Gastric inflammatory myofibroblastic tumor treated with combined laparoscopic and endoscopic gastric wedge resection: a case report.
机构信息
Department of Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan.
出版信息
World J Surg Oncol. 2018 Aug 8;16(1):161. doi: 10.1186/s12957-018-1460-0.
BACKGROUND
Inflammatory myofibroblastic tumor is an uncommon soft tissue neoplasm rarely reported in the stomach.
CASE PRESENTATION
We identified a tumor highly suggestive of poorly differentiated gastric adenocarcinoma in the lesser curvature of the stomach of a 53-year-old female during screening endoscopy. Although the patient's gastric biopsy did not reveal cancer, the tumor configuration was strongly suspicious for malignancy, and we performed a gastric wedge resection using a combined laparoscopic and endoscopic method. The lesion was diagnosed as inflammatory myofibroblastic tumor based on its morphological and immunohistological features.
CONCLUSIONS
Inflammatory myofibroblastic tumor should be considered in the differential diagnosis of soft tissue tumors in the stomach. We present a case of inflammatory myofibroblastic tumor safely treated with combined laparoscopic and endoscopic gastric wedge resection.
背景
炎性肌纤维母细胞瘤是一种不常见的软组织肿瘤，在胃中很少见。
病例介绍
我们在对一名 53 岁女性进行筛查性内镜检查时，发现其胃小弯处有一个高度提示为低分化胃腺癌的肿瘤。尽管患者的胃活检未发现癌症，但肿瘤形态强烈提示恶性肿瘤，因此我们采用腹腔镜联合内镜方法进行了胃楔形切除术。根据其形态学和免疫组织化学特征，该病变被诊断为炎性肌纤维母细胞瘤。
结论
在胃软组织肿瘤的鉴别诊断中应考虑炎性肌纤维母细胞瘤。我们报告了一例采用腹腔镜联合内镜胃楔形切除术安全治疗的炎性肌纤维母细胞瘤病例。
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