胃炎性肌纤维细胞瘤:一个病例报告
Taku Hattori1, Yutaka Tanizawa2, Tadakazu Shimoda3
1Divisions of Gastric Surgery, Shizuoka Cancer Center, 1007 Shimonagakubo, Nagaizumi-Cho, Sunto-Gun, Shizuoka, 411-8777, Japan.
Surgical case reports
|March 15, 2024
概括
炎症性肌纤维细胞瘤 (IMT) 是一种罕见的胃瘤. 这一案例强调IMT在遇到胃下粘膜瘤 (SMTs) 时是可能的.
科学领域:
- 胃肠病学 胃肠病学
- 手术病理学手术病理学
- 在瘤学瘤学.
背景情况:
- 炎症性肌纤维细胞瘤 (IMT) 是一种不常见的介质细胞瘤,影响胃.
- 胃部的粘膜下瘤 (SMTs) 需要仔细的差分诊断.
- 本报告详细介绍了胃IMT表现为SMT的一个具体案例.
研究的目的:
- 呈现一种胃下粘膜瘤 (SMT) 的病例,最终诊断为炎症性肌纤维细胞瘤 (IMT).
- 强调在胃SMT的差异诊断中考虑IMT的重要性.
主要方法:
- 一名69岁的男性患者接受了24毫米胃SMT.
- 诊断成像包括上部胃肠道内镜,增强对比度的计算机断层扫描和内镜超声波导向活检.
- 通过腹腔镜-内镜合作手术进行了手术切除,随后进行了他的病理学分析.
主要成果:
- 手术前的活检没有产生明确的组织学诊断.
- 病理学检查显示,增殖的螺旋细胞对光滑肌肉动因素呈阳性,对c-kit,desmin,s-100,CD34,STAT-6,β-catenin和亚塑性淋巴瘤激酶1呈阴性.
- 最终的诊断是来自胃的炎症性肌纤维细胞瘤 (IMT).
结论:
- 胃炎性肌纤维细胞瘤 (IMT) 应在胃下粘膜瘤 (SMTs) 的差异诊断中考虑.
- 准确的手术前诊断可能具有挑战性,需要进行彻底的组织病理学评估.
相关概念视频
Gastritis-I: Introduction and Types
399
Gastritis, defined by the inflammation or irritation of the stomach lining or gastric mucosa, manifests in several distinct forms: acute, chronic, reactive, and a specific subtype known as autoimmune metaplastic atrophic gastritis.
Acute gastritis presents as a sudden inflammation triggered by various stressors to the stomach lining, such as exposure to corrosive agents, local irritants like aspirin and other NSAIDs, alcohol consumption, radiation therapy, physical trauma, severe burns, sepsis,...
Acute gastritis presents as a sudden inflammation triggered by various stressors to the stomach lining, such as exposure to corrosive agents, local irritants like aspirin and other NSAIDs, alcohol consumption, radiation therapy, physical trauma, severe burns, sepsis,...
399
Gastritis III: Clinical Manifestations and Management
240
The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
240
Gastritis-II: Pathophysiology
324
Gastritis is marked by disruption of the mucosal barrier that usually protects the stomach tissue from digestive juices and manifests in acute and chronic forms.
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
In acute gastritis, the gastric mucosa becomes swollen and red and undergoes superficial erosion. Superficial ulceration may lead to bleeding.
In chronic gastritis, persistent or repeated insults lead to chronic inflammatory changes and, eventually, thinning or atrophy of the gastric tissue.
Gastritis can stem from various causes, each...
324


