A Pancreatic Inflammatory Myofibroblastic Tumor with Spontaneous Remission: A Case Report with a Literature Review.
diagnosis
inflammatory myofibroblastic tumor
pancreas
spontaneous regression
Journal
Diagnostics (Basel, Switzerland)
ISSN: 2075-4418
Titre abrégé: Diagnostics (Basel)
Pays: Switzerland
ID NLM: 101658402
Informations de publication
Date de publication:
17 Oct 2019
17 Oct 2019
Historique:
received:
25
09
2019
revised:
13
10
2019
accepted:
15
10
2019
entrez:
20
10
2019
pubmed:
20
10
2019
medline:
20
10
2019
Statut:
epublish
Résumé
The inflammatory myofibroblastic tumor (IMT) is a rare tumor that can develop in any systemic organ. Its features are generally benign, but it often resembles malignancies and is treated surgically. Our patient was an 82-year-old female complaining of abdominal discomfort. Computed tomography demonstrated a 5 cm, ill-enhanced mass at the pancreas head. Upper gastrointestinal endoscopy revealed a duodenal submucosal tumor with apical erosion. Endoscopic ultrasonography (EUS) demonstrated a heterogeneous, low-echoic pancreas mass without clear margins. Fine-needle aspiration biopsy (FNAB) demonstrated spindle myofibroblastic tissues with lymphoplasmacyte and eosinophil infiltration, confirming an IMT diagnosis. Surprisingly, the tumor spontaneously regressed in one month without medication. Histological diagnosis using EUS-FNAB is essential for the rare pancreatic solid tumor like IMT.
Identifiants
pubmed: 31627359
pii: diagnostics9040150
doi: 10.3390/diagnostics9040150
pmc: PMC6963339
pii:
doi:
Types de publication
Case Reports
Langues
eng
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