Multiple Inflammatory Myofibroblastic Tumor of the Duodenum: Case Report and Literature Review

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• 作者：Junxi Xiang (1)
  Xuemin Liu (1)
  Shengli Wu (1)
  Yi Lv (1)
  Hongyan Wang (2)
  
• 刊名：Journal of Gastrointestinal Surgery
• 出版年：2012
• 出版时间：July 2012
• 年：2012
• 卷：16
• 期：7
• 页码：1442-1445
• 全文大小：280KB
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• 作者单位：Junxi Xiang (1)
  Xuemin Liu (1)
  Shengli Wu (1)
  Yi Lv (1)
  Hongyan Wang (2)
  
  1. Department of Hepatobiliary Surgery, First Affiliated Hospital, Xi鈥檃n Jiaotong University, Xi鈥檃n, 710061, People鈥檚 Republic of China
  2. Department of Pathology, First Affiliated Hospital, Xi鈥檃n Jiaotong University, Xi鈥檃n, People鈥檚 Republic of China
  

文摘

Introduction Inflammatory myofibroblastic tumor (IMT) is a rare low-grade malignant mesenchymal tumor, which can occur at any location, although the lung is the most commonly affected organ. It is extremely rare in the duodenum and only two cases have been reported previously. We report, to our knowledge, the first case of multiple neoplastic lesions. Case report A 20-year-old male presented with the chief complaints of intermittent right epigastric pain, nausea and vomiting. Imaging examination, electronic gastroscopy and preoperative biopsy revealed undefined lesions in the duodenum. Pancreaticoduodenectomy was performed and diagnosis of multiple IMT was confirmed by pathological biopsy of the excised tumor. A satisfactory outcome was proved by the follow-up 1 year after curative operation. Conclusion IMT can be diagnosed by histological examination and immunohistochemical test after surgical resection. Patients can benefit from radical resection with favorable prognosis.