炎性肌成纤维细胞瘤:在儿童年龄组遇到一种罕见的肿瘤

Adhikari Sb, M. SaifulIslam
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引用次数: 0

摘要

炎症性肌纤维母细胞瘤是一种罕见的良性肿瘤,可发生在身体的任何部位,在儿童年龄组比成人更常见。其中,发生于胃和肠系膜的炎性肌成纤维细胞瘤是罕见的肿瘤。我们报告两例经鸟喙内镜下胃食管交界处钡餐检查。术中发现肿物位于胃底阻塞胃食管交界处,行全根治性胃切除术,组织病理报告为炎性肌成纤维细胞瘤。7岁男孩,因反复出现(两次手术)界限不清的脐周腹部肿块。先前的组织活检无结论性。腹部对比CT扫描显示,腹壁和脐区有异质肿块,包裹着肠系膜上动脉(SMA),无法与小肠袢分离。术中发现肿瘤起源于肠系膜根部,包裹SMA及胰头,并粘附于小肠近1 / 2处。在切除小肠吻合术中实现了肿物的缩小,组织病理学报告显示炎性肌成纤维细胞瘤。关键词:
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Inflammatory Myofibroblastic Tumor: Encounter with A Rare Tumour in Pediatric Age Group
Inflammatory myofibroblastic tumor, a rare benign tumor, occurs at any site in the body, is more common in pediatric age group than adult. Among them, inflammatory myofibroblastic tumors arising from stomach and mesentery are rare entity. We report two cases Barium swallow examination lower gastro-esophageal junction with bird-beak Endoscopy esophagus. During operation, the mass was found to be in fundus of stomach obstructing gastro-esophageal junction and total radical gastrectomy was done and histopathology report traced inflammatory myofibroblastic tumor. 7 years old boy presented with recurrent (two times operated) ill-defined, periumbilical abdominal mass. Previous tissue biopsy was non-conclusive. Abdominal Contrast CT Scan revealed heterogenous mass in epigastric and umbilical region encasing Superior Mesenteric Artery (SMA), which could not be separated from small bowel loops. During operation, the tumor was found to be arising from root of mesentery, encasing SMA & Head of Pancreas and adhere with almost middle ½ of small intestine. Debulking of mass along with resection anastomosis of small intestine was realized and histopathology report traced inflammatory myofibroblastic tumour. Keywords:
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