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肠系膜炎性肌纤维母细胞瘤酷似急性阑尾炎:一例报告

Mesenteric inflammatory myofibroblastic tumor mimicking acute appendicitis: A case report.

作者信息

Yadav Saroj Kumar, Bhattarai Himal Bikram, Subedi Saurav, Shrestha Anish, Shah Sangam, Subedi Ayusha, Yadav Binita Kumari, Joshi Sajeev, Shah Kavita, Shah Bidhan Bikram

机构信息

Department of General Surgery, Koshi Hospital, Biratnagar, Nepal.

Gandaki Medical College, Pokhara, Nepal.

出版信息

Ann Med Surg (Lond). 2022 Aug 18;81:104456. doi: 10.1016/j.amsu.2022.104456. eCollection 2022 Sep.

Abstract

INTRODUCTION

An Inflammatory myofibroblastic tumor, a neoplasm of intermediate biological potential, of the small bowel mesentery, is a rare tumor, most commonly reported in but not confined to the pediatric age group.

CASE PRESENTATION

This case report underlines a case of a (small bowel) mesentery IMT in an adult female presenting with recurrent symptoms similar to acute appendicitis.

DISCUSSION

It can present with symptoms similar to acute appendicitis necessitating a high index of suspicion for its prompt diagnosis. Treatment primarily includes surgical resection with recent advances in targeted therapy with tyrosine kinase inhibitors showing promising results.

CONCLUSION

IMTs can present as clinical as well as histopathological mimickers of a variety of diseases especially in the abdomen. Prompt diagnosis requires both imaging and histopathological examination.

摘要

引言

炎性肌纤维母细胞瘤是一种具有中等生物学潜能的肿瘤,位于小肠系膜,是一种罕见肿瘤,最常见于儿童年龄组,但不限于该年龄段。

病例报告

本病例报告强调了一名成年女性小肠系膜炎性肌纤维母细胞瘤的病例,该患者表现出与急性阑尾炎相似的反复症状。

讨论

它可能表现出与急性阑尾炎相似的症状,因此需要高度怀疑以进行及时诊断。治疗主要包括手术切除,酪氨酸激酶抑制剂靶向治疗的最新进展显示出有前景的结果。

结论

炎性肌纤维母细胞瘤可表现为多种疾病的临床及组织病理学模拟物,尤其是在腹部。及时诊断需要影像学和组织病理学检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1e4/9486733/2116b63f51eb/gr1.jpg

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