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巨大腹壁炎性肌纤维母细胞瘤:1例罕见病例报告及文献复习

A Huge Abdominal Wall Inflammatory Myofibroblastic Tumor: A Report of a Rare Case and Literature Review.

作者信息

Ali Aqeed A, Khurshid Dalshad H, Shareef Farman O, Abdul Aziz Jeza M, Majeed Nasreen G

机构信息

Biomedical Sciences, Komar University of Science and Technology, Sulaymaniyah, IRQ.

Surgery, Sulaimani Teaching Hospital, Sulaymaniyah, IRQ.

出版信息

Cureus. 2024 Feb 23;16(2):e54795. doi: 10.7759/cureus.54795. eCollection 2024 Feb.

Abstract

An inflammatory myofibroblastic tumor (IMT), frequently misdiagnosed as a malignant neoplasm, is a rare tumor characterized by the presence of myofibroblastic spindle cells and infiltration of inflammatory cells. In the current study, a 49-year-old female patient with a huge abdominal mass in the left abdominal wall was examined. Diagnostic procedures included blood tests, as well as ultrasound, Doppler, and computed tomography (CT) scans, which revealed the presence of a huge complex multiloculated cystic lesion measuring 30 x 37 x 20 cm. The patient underwent complete excision of the mass. Histopathological examination confirmed the benign nature of the tumor and revealed no evidence of malignancy. A comprehensive review of the available literature shows that the current case is one of the few documented cases. The report concluded by emphasizing the importance of surgical intervention as the primary therapeutic strategy and the crucial role of histopathology in the diagnostic process.

摘要

炎性肌纤维母细胞瘤(IMT)常被误诊为恶性肿瘤,是一种罕见肿瘤,其特征为存在肌纤维母梭形细胞和炎性细胞浸润。在本研究中,对一名49岁、左腹壁有巨大腹部肿块的女性患者进行了检查。诊断程序包括血液检查以及超声、多普勒和计算机断层扫描(CT),结果显示存在一个巨大的复杂多房囊性病变,大小为30×37×20厘米。患者接受了肿块的完整切除。组织病理学检查证实肿瘤为良性,未发现恶性证据。对现有文献的全面综述表明,本病例是少数有记录的病例之一。报告最后强调了手术干预作为主要治疗策略的重要性以及组织病理学在诊断过程中的关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8c3d/10961601/b047a399e520/cureus-0016-00000054795-i01.jpg

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