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[Myofibroblast tumor].

Ernesto Salgado-Sánchez1, Jesús Flores-Flores, Mario U Pérez-Toriz

  • 1Departmento de Cirugía, Hospital de la Sociedad Española de Beneficencia de Puebla, Puebla, México. ernesto_salgado_s@hotmail.com

Revista De Gastroenterologia De Mexico
|January 2, 2004
PubMed
Summary

This case study presents a rare colonic inflammatory myofibroblastic tumor in a 42-year-old male. Surgical resection was successful, with no recurrence or complications after 10 months.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Pathology

Background:

  • Inflammatory myofibroblastic tumors (IMTs) are rare neoplasms originating from soft tissues.
  • IMTs are characterized by a proliferation of myofibroblastic cells, inflammatory cells (leukocytes and plasma cells).
  • While commonly found in the lungs and mesentery, intestinal IMTs are infrequent, particularly in the colon.

Observation:

  • A 42-year-old male presented with a palpable mass in the right iliac fossa.
  • Imaging revealed an inflammatory myofibroblastic tumor infiltrating the ileocecal valve of the colon.
  • The patient underwent a right hemicolectomy for tumor removal.

Findings:

  • Histopathological examination confirmed the diagnosis of colonic inflammatory myofibroblastic tumor.

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  • Post-operative follow-up for 10 months showed no signs of recurrence or complications.
  • The patient did not require any adjuvant therapy following surgery.

    • Implications:

    • This case highlights the importance of considering rare diagnoses like colonic IMTs in patients with abdominal masses.
    • Limited experience with intestinal IMTs necessitates further research into their pathogenesis and optimal management.
    • The lack of early detection methods underscores the need for improved diagnostic tools and potential genetic screening for familial transmission patterns.