1
|
Losuwarat K, Luvira V, Thanasukarn V, Tipwaratorn T, Ungarreevittaya P. Inflammatory Myo-Fibroblastic Tumor of the Gallbladder with Multivisceral Involvement: Successful Treatment with Radical Surgery. Case Reports Hepatol 2023; 2023:1909570. [PMID: 37389088 PMCID: PMC10307192 DOI: 10.1155/2023/1909570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2022] [Revised: 08/27/2022] [Accepted: 05/22/2023] [Indexed: 07/01/2023] Open
Abstract
Inflammatory myo-fibroblastic tumor (IMT) of the gallbladder is an extremely rare condition. Only seven cases have been reported. All of these were presented either with polyp/mass inside the gallbladder or gallbladder wall thickening, involving just one adjacent organ. We herein present a case of IMT of gallbladder presenting with a huge mass replacing the gallbladder with multiple organ involvement, successfully treated by en bloc multivisceral resection. Moreover, we have compared it with the characteristics of all reported cases of IMT of the gallbladder.
Collapse
Affiliation(s)
- Kwanchanok Losuwarat
- Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
| | - Vor Luvira
- Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
| | - Vasin Thanasukarn
- Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
| | - Theerawee Tipwaratorn
- Department of Surgery, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
| | - Piti Ungarreevittaya
- Department of Pathology, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand
| |
Collapse
|
2
|
Huang X, Li G, Wang J, Zheng H. Inflammatory myofibroblastic tumour of the common bile duct: a case report and literature review. World J Surg Oncol 2023; 21:69. [PMID: 36855132 PMCID: PMC9976409 DOI: 10.1186/s12957-023-02934-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2022] [Accepted: 02/11/2023] [Indexed: 03/02/2023] Open
Abstract
INTRODUCTION Inflammatory myofibroblastic tumour (IMT) of the common bile duct (CBD) is an extremely rare low-grade malignancy with various biological behaviours and a lack of specific clinical and histopathological features. Preoperative and intraoperative diagnosis are challenging, and a diagnostic delay may increase surgical complexity. CASE PRESENTATION We present the case of a 34-year-old male with no relevant medical history who presented with jaundice of 20 days of evolution. Histology and immunohistochemistry confirmed the diagnosis of an IMT with anaplastic lymphoma kinase (ALK)-1 expression. In addition, a review of the relevant literature revealed 13 published reports of biliary IMTs. The clinical history and histopathological features in these 13 cases were compared with those in our case to provide a comprehensive overview of the clinical manifestations and histopathological features of the disease. CONCLUSION IMT of the CBD is an extremely rare low-grade malignancy that mainly occurs in middle-aged female patients. The main clinical manifestation is monosymptomatic jaundice. The reported tumours originated in the middle and lower segments of the CBD, with an average size of approximately 3.5 cm × 3.0 cm and tumour cells expressing smooth muscle actin (SMA), vimentin and ALK. Abnormal ALK expression and ALK gene rearrangement represent potential histopathological and differential diagnoses. A clear diagnosis by preoperative biopsy and intraoperative frozen section examination is critical and can significantly reduce surgical trauma. The prognosis is good, and very few patients experience recurrence or distant metastasis.
Collapse
Affiliation(s)
- Xiang Huang
- grid.413390.c0000 0004 1757 6938Department of Pathology, The Affiliated Hospital of Zunyi Medical University, Zunyi City, Guizhou Province People’s Republic of China
| | - Guoli Li
- grid.413390.c0000 0004 1757 6938Department of Pathology, The Affiliated Hospital of Zunyi Medical University, Zunyi City, Guizhou Province People’s Republic of China
| | - Jinjing Wang
- grid.413390.c0000 0004 1757 6938Department of Pathology, The Affiliated Hospital of Zunyi Medical University, Zunyi City, Guizhou Province People’s Republic of China
| | - Hong Zheng
- Department of Pathology, The Affiliated Hospital of Zunyi Medical University, Zunyi City, Guizhou Province, People's Republic of China.
| |
Collapse
|
3
|
Ka K, Foba ML, Ka S, Dieng MM, Gaye PM, Dem A. [Extramammary myofibroblastoma affecting the pelvic region: a case report]. Pan Afr Med J 2021; 38:154. [PMID: 33995761 PMCID: PMC8077639 DOI: 10.11604/pamj.2021.38.154.28060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2021] [Accepted: 02/03/2021] [Indexed: 11/11/2022] Open
Abstract
Un myofibroblastome de type mammaire est une tumeur molle rare; les myofibroblastomes extramammaires sont particulièrement rare. Un homme de 78 ans s'est présenté en consultation pour des douleurs pelviennes soulagées par la défécation ou les urines. Le toucher rectal retrouve une masse en avant de la paroi rectale antérieure. L'imagerie par résonance magnétique (IRM) montre une masse de 10 x 6 x 8cm, bien circonscrite et hétérogène, située en arrière de la vessie qu'elle refoule vers l'avant, en avant du recto-sigmoïde. L'immunohistochimie montre des cellules tumorales co-exprimant CD34 et la desmine de façon diffuse, expression de Rb dans la majorité des cellules, expression des récepteurs aux œstrogènes, expression intense et diffuse de la P16, un index de prolifération avec le ki67 estimé à 25%. Il n'y a pas eu de récidive après 8 mois de radiothérapie d'induction suivie de chirurgie. Un myofibroblastome de type mammaire est une tumeur rare et bénigne. La récidive n'est quasiment pas observée après traitement local. Ce cas permet de mettre en avance la possibilité d'utiliser la radiothérapie afin de faciliter la chirurgie.
Collapse
Affiliation(s)
- Kanta Ka
- Service de Radiothérapie, Centre Hospitalier National Universitaire Dalal Jamm, Guédiawaye, Sénégal
| | - Mamadou Lassana Foba
- Université Cheikh Anta Diop de Dakar, Dakar, Sénégal.,Service de Chirurgie Plastique, Centre Hospitalier Universitaire Aristide Le Dantec, Dakar, Sénégal
| | - Sidy Ka
- Service de Chirurgie Plastique, Centre Hospitalier Universitaire Aristide Le Dantec, Dakar, Sénégal.,Service d'Oncologie, Centre Hospitalier Universitaire Aristide Le Dantec, Dakar, Sénégal
| | - Mamadou Moustapha Dieng
- Service de Chirurgie Plastique, Centre Hospitalier Universitaire Aristide Le Dantec, Dakar, Sénégal.,Service d'Oncologie, Centre Hospitalier Universitaire Aristide Le Dantec, Dakar, Sénégal
| | - Papa Macoumba Gaye
- Service de Radiothérapie, Centre Hospitalier National Universitaire Dalal Jamm, Guédiawaye, Sénégal.,Service de Chirurgie Plastique, Centre Hospitalier Universitaire Aristide Le Dantec, Dakar, Sénégal
| | - Ahmadou Dem
- Service de Chirurgie Plastique, Centre Hospitalier Universitaire Aristide Le Dantec, Dakar, Sénégal.,Service d'Oncologie, Centre Hospitalier Universitaire Aristide Le Dantec, Dakar, Sénégal
| |
Collapse
|
4
|
Calvo A, Salas J, Muñoz G, Díez A, de la Vega MC. A case of inflammatory pseudotumour of the gallbladder presenting as a big mass of uncertain behavior. BMC Gastroenterol 2020; 20:282. [PMID: 32838747 PMCID: PMC7446048 DOI: 10.1186/s12876-020-01408-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/09/2020] [Accepted: 08/03/2020] [Indexed: 12/04/2022] Open
Abstract
Background Inflammatory pseudotumour has been used to describe an inflammatory or fibrosing tumoral process of an undetermined cause that may involve a variety of organ systems, including the lungs, spleen, liver, lymph nodes, pancreas and extrahepatic bile duct with potential for recurrence and persistent local growth. In this article, we report a patient with a big mass of uncertain nature and behavior. Case presentation A 60-year-old woman presented with a 1-week history of abdominal pain, fever and jaundice. Six months before she had had right upper quadrant pain that was interpreted as biliary colic. A contrast-enhanced CT scan showed a big mass of soft tissue with diffuse infiltration of the gallbladder, displacement of the transverse colon, hepatic flexure and duodenum. For diagnostic distinction between a chronic inflammatory disease or a neoplasm, exploratory laparotomy was required. Intraoperative exploration disclosed a big mass of hard texture involving the gallbladder, with multiple concrements, hepatoduodenal ligament, right and transverse mesocolon, stomach and duodenum. Cholecystectomy was performed, preserving adjacent organs with macroscopic desmoplastic reaction. Histopathologic examination of the gallbladder showed a spindle cell proliferation with diffuse chronic inflammatory infiltrate of lymphocytes, plasma cells and hyalinized fibrous stroma. No vascular invasion or cellular atypia were evident. Conclusion Inflammatory pseudotumour is a rare condition and diagnostic distinction from a chronic inflammatory disease or other neoplasm is only possible by histopathologic examination. There is a limited number of case reports in the literature indicating tumor location in the gallbladder.
Collapse
Affiliation(s)
- Antonio Calvo
- Department of Surgery and Pathology, Puerto Real University Hospital, Cádiz, Spain.
| | - Jesús Salas
- Department of Surgery and Pathology, Puerto Real University Hospital, Cádiz, Spain
| | - Gloria Muñoz
- Department of Surgery and Pathology, Puerto Real University Hospital, Cádiz, Spain
| | - Ana Díez
- Department of Surgery and Pathology, Puerto Real University Hospital, Cádiz, Spain
| | | |
Collapse
|
5
|
Veenstra R, Kostine M, Cleton-Jansen AM, de Miranda NF, Bovée JV. Immune checkpoint inhibitors in sarcomas: in quest of predictive biomarkers. J Transl Med 2018; 98:41-50. [PMID: 29155424 DOI: 10.1038/labinvest.2017.128] [Citation(s) in RCA: 28] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2017] [Revised: 08/21/2017] [Accepted: 09/24/2017] [Indexed: 12/14/2022] Open
Abstract
Sarcomas are a rare group of tumors of mesenchymal origin. Metastatic sarcomas are often difficult to treat and unresponsive to standard radio- and chemotherapy, resulting in a poor survival rate for patients. Novel treatments with immune checkpoint inhibitors have been proven to prolong survival of patients with a variety of cancers, including metastatic melanoma, lung, and renal cell carcinoma. Since immune checkpoint inhibitors could provide a novel treatment option for patients with sarcomas, clinical trials investigating their efficacy in these group of tumors are ongoing. However, the discrimination of patients that are the most likely to respond to these treatments is still an obstacle in the design of clinical trials. In this review, we provide a brief overview of the mechanisms of action of immune checkpoint inhibitors and discuss the proposed biomarkers of therapy response, such as lymphocytic infiltration, intratumoral PD-L1 expression, and mutational load in sarcomas.
Collapse
Affiliation(s)
- Robin Veenstra
- Department of Pathology, Leiden University Medical Center, Leiden, The Netherlands
| | - Marie Kostine
- Department of Pathology, Leiden University Medical Center, Leiden, The Netherlands
| | | | - Noel Fcc de Miranda
- Department of Pathology, Leiden University Medical Center, Leiden, The Netherlands
| | - Judith Vmg Bovée
- Department of Pathology, Leiden University Medical Center, Leiden, The Netherlands
| |
Collapse
|
6
|
Yamada T, Hisa T, Shiozawa S, Kudo A, Furukawa R. Inflammatory myofibroblastic tumor of the gallbladder: a case report and literature review. J Med Ultrason (2001) 2017. [PMID: 28639154 DOI: 10.1007/s10396-017-0798-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
A 50-year-old man had undergone chemotherapy and radiotherapy for malignant lymphoma 1 year earlier. Follow-up computed tomography revealed a gallbladder polyp. Transabdominal ultrasound demonstrated a 20-mm hypoechoic sessile polyp with basal waist in the gallbladder fundus; the surface was covered with a hyperechoic layer of non-uniform thickness. On contrast-enhanced computed tomography, the polyp showed an early uniform and sustained staining pattern. Magnetic resonance imaging revealed that the polyp had low and slightly high signal intensities on T1- and T2-weighted imaging, respectively. Gallbladder bed resection was performed with the diagnosis of special tumor. Histologically, the polyp comprised a proliferation of myofibroblast-like spindle cells with inflammatory cell infiltration, without muscularis propria or vascular invasion. Most of the polyp surface was covered with necrotic exudate, and part of the normal epithelium remained. Consequently, a diagnosis of inflammatory myofibroblastic tumor was made. The sessile shape with basal waist, epithelium shedding, and surface necrotic exudative matter may represent intraluminal expansive growth such as a subepithelial tumor. A surface with a hyperechoic layer of non-uniform thickness on gallbladder polyp can help in the diagnosis of a tumor with expansive growth directly under the epithelium with stretching/rupture of the epithelium.
Collapse
Affiliation(s)
- Takahiro Yamada
- Department of Gastroenterology, Saku Central Hospital Advanced Care Center, 3400-28 Nakagomi, Saku, Nagano, 385-0051, Japan.
| | - Takeshi Hisa
- Department of Gastroenterology, Saku Central Hospital Advanced Care Center, 3400-28 Nakagomi, Saku, Nagano, 385-0051, Japan
| | - Satoshi Shiozawa
- Clinical Pathology, Saku Central Hospital Advanced Care Center, Nagano, Japan
| | - Akiharu Kudo
- Department of Gastroenterology, Saku Central Hospital Advanced Care Center, 3400-28 Nakagomi, Saku, Nagano, 385-0051, Japan
| | - Ryutaro Furukawa
- Department of Gastroenterology, Saku Central Hospital Advanced Care Center, 3400-28 Nakagomi, Saku, Nagano, 385-0051, Japan
| |
Collapse
|
7
|
Sho M, Hatakeyama K, Obara S, Kunishige T, Takano M, Kasai T, Ohbayashi C, Nakajima Y. Pseudosarcomatous myofibroblastic proliferation of the gallbladder mimicking early carcinoma. Pathol Int 2016; 66:478-80. [PMID: 27349494 DOI: 10.1111/pin.12430] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2015] [Revised: 03/21/2016] [Accepted: 05/26/2016] [Indexed: 11/30/2022]
Affiliation(s)
- Masayuki Sho
- Department of Surgery, Nara Medical University, Kashihara, Nara, Japan
| | - Kinta Hatakeyama
- Department of Diagnostic Pathology, Nara Medical University, Kashihara, Nara, Japan
| | - Shinsaku Obara
- Department of Surgery, Nara Medical University, Kashihara, Nara, Japan
| | | | - Masato Takano
- Department of Diagnostic Pathology, Nara Medical University, Kashihara, Nara, Japan
| | - Takahiko Kasai
- Department of Diagnostic Pathology, Nara Medical University, Kashihara, Nara, Japan
| | - Chiho Ohbayashi
- Department of Diagnostic Pathology, Nara Medical University, Kashihara, Nara, Japan
| | | |
Collapse
|
8
|
Pan J, Wang S, Zhang Y, Fan Z. Mammary myofibroblastoma in the right lateral abdominal wall. World J Surg Oncol 2016; 14:55. [PMID: 26911514 PMCID: PMC4766690 DOI: 10.1186/s12957-016-0796-6] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2015] [Accepted: 02/16/2016] [Indexed: 12/11/2022] Open
Abstract
Background A mammary-type myofibroblastoma is a rare soft tumor; extramammary myofibroblastomas are especially rare. Case presentation A 51-year-old woman presented to our department for evaluation of a mass on the right lower abdominal wall. The mass was then excised completely. Gross examination showed a huge, well-circumscribed soft tissue mass. The pathologic diagnosis was an extramammary myofibroblastoma. There was no recurrence after excision at the 6-month follow-up visit. Conclusions A mammary-type myofibroblastoma is a benign soft tissue neoplasm. No malignant behavior and/or recurrence of mammary-type myofibroblastomas after surgical resection have been described as a function of size and location. The present case aimed to provide a possible differential diagnosis for such abdominal masses.
Collapse
Affiliation(s)
- Jiyong Pan
- Department of General Surgery, the Third People's Hospital of Dalian (Dalian Third People's Hospital Affiliated to Dalian Medical University), Dalian, 116033, China
| | - Shuang Wang
- VIP Department, Affiliated Zhongshan Hospital of Dalian University, Dalian, 116001, China
| | - Yingyi Zhang
- Department of General Surgery, the Third People's Hospital of Dalian (Dalian Third People's Hospital Affiliated to Dalian Medical University), Dalian, 116033, China
| | - Zhe Fan
- Department of General Surgery, the Third People's Hospital of Dalian (Dalian Third People's Hospital Affiliated to Dalian Medical University), Dalian, 116033, China.
| |
Collapse
|
9
|
Navinan MR, Liyanage I, Herath S, Yudhishdran J, Shivanthan C, Beneragama D, Kulatunga A. Inoperable inflammatory myofibroblastic tumour of the para-nasal sinuses and orbit with recurrence responding to methotrexate and prednisolone: a case report. BMC Res Notes 2015; 8:27. [PMID: 25648655 PMCID: PMC4323114 DOI: 10.1186/s13104-015-0993-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2014] [Accepted: 01/23/2015] [Indexed: 01/30/2023] Open
Abstract
BACKGROUND Inflammatory myofibroblastic tumour is a rare neoplasm with a potential to behave in a malignant manner. It can occur anywhere in the body, however involvement of the head, especially the para-nasal sinuses is rare. CASE PRESENTATION A 33-year-old South Asian male presented with coryzal symptoms including a persistent cough with an asymmetrical swelling of the left side of the face. Imaging revealed a mass lesion involving the para-nasal sinuses eroding into the orbit. Histology and the clinical picture were compatible with inflammatory myofibroblastic tumour. As curative excision of the tumour was not feasible, medical management was offered. Despite early features of remission to glucocorticoids, tapering resulted in recurrence. Hence combination therapy with glucocorticoids and methotrexate was commenced with dramatic reduction of tumour burden and the patient has been in remission to date. CONCLUSION Inflammatory myofibroblastic tumour has the potential to behave in a malignant manner. Medical management with chemotherapy, glucocorticoids and non-steroidal anti-inflammatory drugs though effective, do not have a uniform response pattern. Surgically unresectable inflammatory myofibroblastic tumour above neck should be treated aggressively with combination regimens. Combination of prednisolone with methotrexate has been shown to have good outcome.
Collapse
Affiliation(s)
| | | | | | | | | | - Dulani Beneragama
- Department of Pathology, Faculty of Medicine, University of Sri Jayawardenepura, Colombo, Sri Lanka.
| | | |
Collapse
|
10
|
Inflammatory myofibroblastic tumor of the gallbladder: imaging aspects. J Med Ultrason (2001) 2014; 42:89-95. [DOI: 10.1007/s10396-014-0566-4] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2014] [Accepted: 07/01/2014] [Indexed: 12/12/2022]
|
11
|
Papadopoulou D, Chatziralli I, Papadopoulos V, Filitantzi C, Demertzidis C. Synchronous gastric inflammatory myofibroblastic tumour with gastrointestinal stromal tumour of the stomach and hepatic syringious haemangioma. J Surg Case Rep 2012; 2012:7. [PMID: 24960722 PMCID: PMC3649450 DOI: 10.1093/jscr/2012.1.7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
Inflammatory myofibroblastic tumour of the stomach is a very rare lesion. A case of a gastric inflammatory myofibroblastic tumour associated with gastrointestinal stromal tumour of the stomach and hepatic syringious haemangioma is described. We report an 80-year-old male who had an exophytic mass in the area of the pylorus and the duodenum, where hepatic cysts were found in the magnetic resonance (MRI) scan on examination of hypochromic microcytic anaemia, and prolapsus and torsion of the bulb of the stomach found during gastroscopy. During surgical excision of the exophytic mass, a gastrointestinal stromal tumour from the gastric fundus and a syringious haemangioma from the superior hepatic surface were resected. All tumours were treated successfully by surgical excision. The patient had an uneventful recovery. Neither recurrence nor metastasis was found after a 12-month follow-up. To our knowledge, this is the first time that such an association is reported in the literature.
Collapse
|
12
|
Abstract
INTRODUCTION Inflammatory myofibroblastic tumor occurring at intra-abdominal sites in children has rarely been described. In the abdomen, mesentery is a rare location for an inflammatory myofibroblastic tumor. CASE REPORT A case report of inflammatory myofibroblastic tumor of mesentery presenting as painless abdominal swelling is presented. Histopathological study of specimen documented the diagnosis. Complete resection of tumor was done with no recurrence seen in follow-up.
Collapse
Affiliation(s)
- Imtiaz Wani
- Post Graduate Department of Surgery, S.M.H.S Hospital, Shodi Gali, Amira Kadal, Srinagar, Kashmir, India, 190009.
| |
Collapse
|
13
|
Lopez-Tomassetti Fernandez EM, Luis HD, Malagon AM, Gonzalez IA, Pallares AC. Recurrence of inflammatory pseudotumor in the distal bile duct: Lessons learned from a single case and reported cases. World J Gastroenterol 2006; 12:3938-43. [PMID: 16804988 PMCID: PMC4087951 DOI: 10.3748/wjg.v12.i24.3938] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
Inflammatory myofibroblastic tumors (IMTs) or inflammatory pseudotumors (IPs) have been extensively discussed in the literature. They are usually found in the lung and upper respiratory tract. However, reporting of cases involving the biliopancreatic region has increased over recent years. Immunohistochemical study of these lesions limited to the pancreatic head or distal bile duct seems to be compatible with those observed in a new entity called autoimmune pancreatitis, but usually intense fibrotic reaction (zonation) predominates producing a mass. When this condition is limited to the pancreatic head, the common bile duct might be involved by the inflammatory process and jaundice may occur often resembling adenocarcinoma of the pancreas. We have previously reported a case of IMT arising from the bile duct associated with autoimmune pancreatitis which is an extremely rare entity. Four years after Kaush-Whipple resection, radiological examination on routine follow-up revealed a tumor mass, suggesting local recurrence. Ultrasound-guided FNA confirmed our suspicious diagnosis. This present case, as others, suggests that persistent follow-up is necessary in order to prevent irreversible liver damage at this specific location.
Collapse
Affiliation(s)
- E M Lopez-Tomassetti Fernandez
- Department of Gastrointestinal Surgery, University Hospital of Canary Islands, Ofra s/n. La Cuesta, La Laguna, Santa Cruz de Tenerife, Spain.
| | | | | | | | | |
Collapse
|
14
|
Leon CJ, Castillo J, Mebold J, Cortez L, Felmer R. Inflammatory myofibroblastic tumor of the stomach: an unusual complication after gastrectomy. Gastrointest Endosc 2006; 63:347-9. [PMID: 16427957 DOI: 10.1016/j.gie.2005.09.026] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/20/2005] [Accepted: 09/10/2005] [Indexed: 01/06/2023]
Affiliation(s)
- Carlos J Leon
- Department of Surgery, Surgical Endoscopy Unit, Barros Luco Trudeau Hospital, University of Chile, Santiago, Chile
| | | | | | | | | |
Collapse
|