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Recurrent inflammatory fibroid polyp of cardia: a case report
Krzysztof Zinkiewicz1, Witold Zgodzinski, Andrzej Dabrowski
12nd Department of General Surgery, Skubiszewski Medical University of Lublin, Staszica 16, 20-081 Lublin, Poland. kzinek@yahoo.com
Insights
Inflammatory fibroid polyps are chronic digestive tract conditions that can mimic tumors. Endoscopic removal is effective, but recurrence may necessitate surgical resection, as seen in this cardia case.
Area of Science:
- Gastroenterology
- Gastrointestinal Pathology
Background:
- Inflammatory fibroid polyps (IFPs) are rare, benign, submucosal tumors of the digestive tract.
- They are characterized by chronic inflammation and eosinophilic infiltration.
- IFPs often present as submucosal lesions, mimicking other gastrointestinal tumors.
Observation:
- This report details a case of an IFP located in the cardia of the stomach.
- The lesion was initially diagnosed and treated via endoscopic removal.
- Recurrence of the IFP was observed 12 months post-endoscopic treatment.
Findings:
- Endoscopic removal is a safe and effective primary treatment for IFPs.
- Recurrence of IFPs after endoscopic removal is possible.
- Surgical resection may be required for recurrent or persistent IFPs.
Implications:
- Accurate diagnosis of IFPs is crucial and often requires histological examination post-removal.
- Endoscopic management is a viable first-line treatment for IFPs.
- Close follow-up is recommended after endoscopic removal due to the potential for recurrence.
Abstract:
Inflammatory fibroid polyp is one of the chronic inflammatory diseases in the digestive tract, which often mimics the submucosal tumor. Precise diagnosis is possible after removal of the detected lesion. Endoscopic removal is recommended as a safe and efficient method of the treatment. In this report the authors present a case of inflammatory fibroid polyp located in the cardia, which has been removed endoscopically. Twelve months later, recurrence of the lesion was noted and the patient was referred to surgical resection.
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