Inflammatory pseudotumor: big similarities and diagnostic challenges.

Autor: Mohtarim, Rihane El, Derqaoui, Sabrine, Sassi, Samia, Belkouchi, Omar, Babana, Amina El Alaoui, Boumeriem, Khaoula, Imrani, Kaoutar, Nassar, Ittimade, Jahid, Ahmed, Zouaidia, Fouad, Znati, Kaoutar, Belkouchi, Abdelkader, Bernoussi, Zakia
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Zdroj: Journal of Surgical Case Reports; Sep2024, Vol. 2024 Issue 9, p1-3, 3p
Abstrakt: Inflammatory pseudotumors are reactive and rare lesions of unknown origin. They are locally aggressive, but they generally do not extend beyond the affected organ, with a favorable prognosis after radical surgical resection. Symptoms and radiologic features are often nonspecific, and pathological examination plays a pivotal role in the diagnosis of inflammatory pseudotumors along with immunohistochemical staining to rule out differential diagnosis, especially myofibroblastic inflammatory tumor. Molecular biology can play a decisive role when these latter cannot establish a definitive diagnosis. Herein, we present a case study that describes a 65-year-old woman presenting a mesocolic mass. The patient underwent a surgical excision, which included a wedge gastric resection, transverse colectomy, and colocolic side-to-side stapled anastomosis. Histopathology and immunohistochemistry confirmed an inflammatory pseudotumor. Surgery remains the main treatment and depends on the location of the tumor. No recurrences are noted; however, a standardized follow-up protocol for inflammatory pseudotumors has yet to be established. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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