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中华结直肠疾病电子杂志 ›› 2016, Vol. 05 ›› Issue (03) : 272 -274. doi: 10.3877/cma.j.issn.2095-3224.2016.03.016

所属专题: 经典病例 经典病例 文献

病例报道

右半结肠炎性肌纤维母细胞瘤一例
贵英斌1, 郭海峰1, 董理1, 张恒春1,()   
  1. 1. 157000 牡丹江医学院红旗医院普外一科
  • 收稿日期:2016-05-05 出版日期:2016-06-25
  • 通信作者: 张恒春

A case report of right hemicolon inflammatory myofibroblastic tumor

Yingbin Gui1, Haifeng Guo1, Li Dong1, Hengchun Zhang1,()   

  1. 1. Department of General Surgery, Hongqi Hospital, Mudanjaing Medical College.Mudanjiang 157011, China
  • Received:2016-05-05 Published:2016-06-25
  • Corresponding author: Hengchun Zhang
  • About author:
    Corresponding author: Zhang Hengchun, Email:
引用本文:

贵英斌, 郭海峰, 董理, 张恒春. 右半结肠炎性肌纤维母细胞瘤一例[J]. 中华结直肠疾病电子杂志, 2016, 05(03): 272-274.

Yingbin Gui, Haifeng Guo, Li Dong, Hengchun Zhang. A case report of right hemicolon inflammatory myofibroblastic tumor[J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2016, 05(03): 272-274.

目的

通过本病例报道,提高对该病的认识、诊断和治疗。

方法

就我院经病理证实右半结肠肌纤维母细胞瘤的病例1例,结合患者临床病例资料与相关文献报道进行回顾性诊断分析。

结果

该患者为老年女性,临床表现为腹部肿块,无其他特异性表现,诊断难度大。IMT多发生在儿童及青少年,常见累及器官是肺,右半结肠炎性肌纤维母细胞瘤在临床上罕见。

结论

炎性肌纤维母细胞瘤发病率低,呈低度恶性,临床表现不典型,影像学检查无特异性,易误诊,确诊仍依赖于病理及免疫组化检查。手术为其有效的治疗手段。有复发倾向,术后随访有重要意义。

Objective

To improve the understanding, diagnosis and treatment of this disease by the report of this case.

Methods

On our hospital pathologically confirmed cases of right hemicolon myofibroblastic tumor in 1 case, combined with the patients clinical data and relevant literature reports were retrospectively analyzed.

Results

The elderly woman patient?s clinical manifestations is abdominal mass, with no other specific manifestations, so the diagnosis is difficult. IMT occurs in children and adolescents, common involved organs is the lung, right-sided colitis myofibroblastic tumor in clinical rare.

Conclusions

The Inflammatory myofibroblastic tumor is a low-grade, with low incidence rate, clinical manifestations of atypical and no specific neuroimaging, so it is easy to be misdiagnosed, and it?s final diagnosis still depends on pathology and immunohistochemistry. Surgery is the effective treatment method. Because of the tendency of recurrence, postoperative follow-up is important.

图3 SAM×200倍
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