Chen Zhi-Tao, Lin Yao-Xiang, Li Meng-Xia, Zhang Ting, Wan Da-Long, Lin Sheng-Zhang
Department of Hepatobiliary and Pancreatic Surgery, Shulan (Hangzhou) Hospital Affiliated to Zhejiang Shuren University Shulan International Medical College, Hangzhou 310000, Zhejiang Province, China.
School of Medicine, Hangzhou Normal University, Hangzhou 310003, Zhejiang Province, China.
World J Clin Cases. 2021 Aug 6;9(22):6418-6427. doi: 10.12998/wjcc.v9.i22.6418.
Pancreatic inflammatory myofibroblastic tumor (IMT) is a relatively rare disease that is often confused with pancreatic cancer or pancreatic neuroendocrine tumors. The histological features of IMTs show that tissue from this type of tumor contains an intermingling of fibroblast and myofibroblast proliferation, accompanied by a varying degree of inflammatory cell infiltration.
The management of an IMT occurring at the neck of the pancreas is presented in this paper. A 66-year-old female patient was diagnosed with a pancreatic neck mass after a series of tests. The patient underwent enucleation of the pancreatic neck tumor after a pathological diagnosis of IMT. Previous research on the clinical features, pathological diagnosis and treatment of pancreatic IMTs was reviewed. Compared with previous reports, this is a unique case of enucleation of a pancreatic IMT.
The enucleation of pancreatic IMTs may be a safe and efficient surgical method for managing such tumors with a better prognosis. Further cases are required to explore surgical measures for pancreatic IMTs.
胰腺炎性肌纤维母细胞瘤（IMT）是一种相对罕见的疾病，常与胰腺癌或胰腺神经内分泌肿瘤相混淆。IMT的组织学特征显示，这类肿瘤组织中存在成纤维细胞和肌成纤维细胞增殖的混合，并伴有不同程度的炎性细胞浸润。
本文介绍了一例发生于胰腺颈部的IMT的治疗情况。一名66岁女性患者经一系列检查后被诊断为胰腺颈部肿块。经病理诊断为IMT后，该患者接受了胰腺颈部肿瘤摘除术。回顾了以往关于胰腺IMT临床特征、病理诊断及治疗的研究。与既往报道相比，这是一例独特的胰腺IMT摘除病例。
胰腺IMT摘除术可能是治疗此类肿瘤的一种安全有效的手术方法，预后较好。需要更多病例来探索胰腺IMT的手术治疗措施。
