一名50多岁女性表现为慢性上腹部不适的幽门前炎性纤维瘤性息肉：病例报告
Prepyloric gastric inflammatory fibroid polyp presenting as chronic epigastric discomfort in a 5th decade aged female: A case report.
作者信息
Terro Jad J, El-Helou Etienne, Kansoun Alaa, Taha Alaa, Karaki Jocelyne, Naccour Jessica, Damaj Nahed, Abtar Houssam Khodor
机构信息
General Surgery Department, Faculty of Medical Sciences, Lebanese University, Mount Lebanon, Lebanon.
Department of Gastroenterology and Endoscopy, Central Military Hospital, Beirut, Lebanon.
出版信息
Int J Surg Case Rep. 2020;76:49-51. doi: 10.1016/j.ijscr.2020.09.152. Epub 2020 Sep 25.
INTRODUCTION
Inflammatory fibroid polyps is a rare entity that mostly occur in the stomach. Gastric type is usually asymptomatic or may show nonspecific symptoms. Diagnosis is mainly postoperative with limited roles of usual diagnostic techniques.
PRESENTATION OF CASE
A 42 years old healthy female presenting with chronic symptoms for epigastric discomfort and mild nausea. Labs showed mild anemia. A gastric lesion was detected by Endoscopy and being studied by echo-endoscopy and needle aspirate. Gastric Inflammatory fibroid polyp was diagnosed after distal gastrectomy by histopathology and immunohistochemistry.
CONCLUSION
Gastric inflammatory fibroid polyp is a preoperative diagnostic challenge of unclear pathogenesis. Histopathology and immunohistochemistry are the gold standard. Studies around this exact pathology are required for better management and prevention.
引言
炎性纤维性息肉是一种罕见的病变，主要发生于胃。胃型通常无症状或可能表现出非特异性症状。诊断主要依靠术后病理，常规诊断技术作用有限。
病例介绍
一名42岁健康女性，有上腹部不适和轻度恶心的慢性症状。实验室检查显示轻度贫血。通过内镜检查发现胃病变，并进行了超声内镜检查和针吸活检。远端胃切除术后经组织病理学和免疫组织化学诊断为胃炎性纤维性息肉。
结论
胃炎性纤维性息肉术前诊断具有挑战性，其发病机制尚不清楚。组织病理学和免疫组织化学是金标准。需要围绕这种确切的病理学进行研究，以实现更好的管理和预防。
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