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网膜-肠系膜炎性假瘤。一例肿瘤遗传改变及单克隆性的细胞遗传学证明。

Omental-mesenteric inflammatory pseudotumor. Cytogenetic demonstration of genetic changes and monoclonality in one tumor.

作者信息

Treissman S P, Gillis D A, Lee C L, Giacomantonio M, Resch L

机构信息

Department of General Surgery, Isaac Walton Killam Children's Hospital, Halifax, Nova Scotia, Canada.

出版信息

Cancer. 1994 Mar 1;73(5):1433-7. doi: 10.1002/1097-0142(19940301)73:5<1433::aid-cncr2820730518>3.0.co;2-f.

Abstract

BACKGROUND

Extrapulmonary inflammatory pseudotumor (plasma cell granuloma) is an uncommon lesion in adults and children, and little is known either of its etiology or clinical characteristics. However, it remains a significant source of morbidity to patients and confusion to clinicians.

METHODS

Case reports are presented of three patients with intraabdominal inflammatory pseudotumor who recently underwent surgery. A review of the recent world literature is also presented. Clinical and laboratory characteristics of omental-mesenteric inflammatory pseudotumor are reviewed along with a discussion of its etiology.

RESULTS

Cytogenetic data from cells of one patient show a derivative chromosome evolved from a translocation between the long arm of chromosome 2 and the short arm of chromosome 9 [(2;9)(q1,3;p2,2)].

CONCLUSIONS

The lesion is monoclonal, and genetic changes may play a crucial role in the development of this neoplasm. Omental-mesenteric inflammatory pseudotumor appears to represent a distinct clinicopathologic entity as a benign neoplasm in children.

摘要

背景

肺外炎性假瘤(浆细胞肉芽肿)在成人和儿童中均为罕见病变,其病因及临床特征鲜为人知。然而,它仍是患者发病的重要原因,也给临床医生带来困惑。

方法

报告了3例近期接受手术的腹腔炎性假瘤患者的病例。同时对近期世界文献进行了综述。回顾了网膜-肠系膜炎性假瘤的临床和实验室特征,并对其病因进行了讨论。

结果

1例患者细胞的细胞遗传学数据显示,一条衍生染色体由2号染色体长臂与9号染色体短臂之间的易位演变而来[(2;9)(q1,3;p2,2)]。

结论

该病变为单克隆性,基因改变可能在该肿瘤的发生发展中起关键作用。网膜-肠系膜炎性假瘤似乎是儿童良性肿瘤中一种独特的临床病理实体。

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