一名儿科患者肝脏炎性肌纤维母细胞瘤的病例报告：诊断挑战与管理策略
A case report of hepatic inflammatory myofibroblastic tumor in a pediatric patient: diagnostic challenges and management strategies.
作者信息
Napolitano Marcello, Lama Beatrice, Ierardi Anna Maria, Valle Clarissa, Rossi Eugenio, Minelli Rocco, Paviglianiti Giuseppe, Di Rosa Gianpaolo, Baldazzi Michelangelo, Carrafiello Gian Paolo
机构信息
Department of Pediatric Radiology and Neuroradiology, V. Buzzi Children's Hospital, Milan, Italy.
Department of Advanced Biomedical Sciences, University of Naples "Federico II", 80131, Naples, Italy.
出版信息
J Ultrasound. 2024 Dec 17. doi: 10.1007/s40477-024-00975-9.
PURPOSE
The aim of this study is to present a case of inflammatory myofibroblastic tumor (IMT) of the liver in a 4-year-old girl. We will discuss the diagnostic challenges, the role of the radiologist in differential diagnosis, treatment modalities, and clinical outcomes.
METHODS
A case report of a 4-year-old girl with IMT of the liver is presented. We will review the patient's clinical presentation, diagnostic imaging findings, histological features, treatment, and follow-up.
RESULTS
The patient presented with vomiting and jaundice, but no fever. Imaging studies revealed an hepatic lesion suspicious for IMT; pathology confirmed the diagnosis. The patient underwent surgical intervention with successful resolution.
CONCLUSION
IMT of the liver is a rare but important diagnosis to consider in children with abdominal masses. Radiologists play a crucial role in differential diagnosis. Surgical resection can be an effective treatment option for IMT, leading to favorable clinical outcomes.
目的
本研究旨在介绍一名4岁女童肝脏炎性肌纤维母细胞瘤（IMT）的病例。我们将讨论诊断挑战、放射科医生在鉴别诊断中的作用、治疗方式及临床结果。
方法
呈现一名患有肝脏IMT的4岁女童的病例报告。我们将回顾患者的临床表现、诊断性影像学检查结果、组织学特征、治疗及随访情况。
结果
患者表现为呕吐和黄疸，但无发热。影像学检查发现肝脏有一个可疑为IMT的病变；病理检查确诊。患者接受了手术干预，病情成功缓解。
结论
肝脏IMT在患有腹部肿块的儿童中是一种罕见但重要的需考虑的诊断。放射科医生在鉴别诊断中起着关键作用。手术切除对于IMT可能是一种有效的治疗选择，可带来良好的临床结果。
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