A Large Gastric Inflammatory Fibroid Polyp
Inflammatory fibroid polyp (IFP) is an unusual benign gastrointestinal subepithelial tumor (SET). The endosonographic (EUS) features of IFPs were sporadically reported on imaging tips or small case series study. However, the differential diagnosis and optimal treatment of gastric IFP is still challe...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Karger Publishers
2015-03-01
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| Series: | GE: Portuguese Journal of Gastroenterology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2341454514001276 |
| _version_ | 1818144600676630528 |
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| author | Teresa Pinto-Pais Sónia Fernandes Luísa Proença Carlos Fernandes Iolanda Ribeiro Agostinho Sanches João Carvalho José Fraga |
| author_facet | Teresa Pinto-Pais Sónia Fernandes Luísa Proença Carlos Fernandes Iolanda Ribeiro Agostinho Sanches João Carvalho José Fraga |
| author_sort | Teresa Pinto-Pais |
| collection | DOAJ |
| description | Inflammatory fibroid polyp (IFP) is an unusual benign gastrointestinal subepithelial tumor (SET). The endosonographic (EUS) features of IFPs were sporadically reported on imaging tips or small case series study. However, the differential diagnosis and optimal treatment of gastric IFP is still challenging.
We report an unusual case of a large erosioned and prolapsing gastric submucosal lesion, presenting primarily with obstructive symptoms (“ball valve syndrome”) and anemia. On EUS examination, a 50 mm SET in the distal antrum was seen, with hypoechoic but heterogeneous echo-pattern, located in the second and third sonographic layers of the gastric wall (deep mucosal and submucosal). The fourth (muscle) layer was intact; no peri-lesional adenopathies were identified. A decision was made to proceed to endoscopic treatment because of the mentioned symptoms. Histopathologic evaluation of the resected specimen with immunohistochemical staining was consistent with the diagnosis of IFP.
IFP rarely reach these large dimensions or cause symptoms. Despite its benign etiology, endoscopic resection was important in both establishing a histologic diagnosis and treatment. EUS was crucial in the differential diagnosis. The literature concerning IFP is also reviewed. |
| first_indexed | 2024-12-11T11:50:09Z |
| format | Article |
| id | doaj.art-bda033cd35724f4f8734bab99c26cb02 |
| institution | Directory Open Access Journal |
| issn | 2341-4545 |
| language | English |
| last_indexed | 2024-12-11T11:50:09Z |
| publishDate | 2015-03-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | GE: Portuguese Journal of Gastroenterology |
| spelling | doaj.art-bda033cd35724f4f8734bab99c26cb022022-12-22T01:08:23ZengKarger PublishersGE: Portuguese Journal of Gastroenterology2341-45452015-03-01222616410.1016/j.jpge.2014.07.006A Large Gastric Inflammatory Fibroid PolypTeresa Pinto-PaisSónia FernandesLuísa ProençaCarlos FernandesIolanda RibeiroAgostinho SanchesJoão CarvalhoJosé FragaInflammatory fibroid polyp (IFP) is an unusual benign gastrointestinal subepithelial tumor (SET). The endosonographic (EUS) features of IFPs were sporadically reported on imaging tips or small case series study. However, the differential diagnosis and optimal treatment of gastric IFP is still challenging. We report an unusual case of a large erosioned and prolapsing gastric submucosal lesion, presenting primarily with obstructive symptoms (“ball valve syndrome”) and anemia. On EUS examination, a 50 mm SET in the distal antrum was seen, with hypoechoic but heterogeneous echo-pattern, located in the second and third sonographic layers of the gastric wall (deep mucosal and submucosal). The fourth (muscle) layer was intact; no peri-lesional adenopathies were identified. A decision was made to proceed to endoscopic treatment because of the mentioned symptoms. Histopathologic evaluation of the resected specimen with immunohistochemical staining was consistent with the diagnosis of IFP. IFP rarely reach these large dimensions or cause symptoms. Despite its benign etiology, endoscopic resection was important in both establishing a histologic diagnosis and treatment. EUS was crucial in the differential diagnosis. The literature concerning IFP is also reviewed.http://www.sciencedirect.com/science/article/pii/S2341454514001276EndosonographyPolypsStomach Neoplasms |
| spellingShingle | Teresa Pinto-Pais Sónia Fernandes Luísa Proença Carlos Fernandes Iolanda Ribeiro Agostinho Sanches João Carvalho José Fraga A Large Gastric Inflammatory Fibroid Polyp GE: Portuguese Journal of Gastroenterology Endosonography Polyps Stomach Neoplasms |
| title | A Large Gastric Inflammatory Fibroid Polyp |
| title_full | A Large Gastric Inflammatory Fibroid Polyp |
| title_fullStr | A Large Gastric Inflammatory Fibroid Polyp |
| title_full_unstemmed | A Large Gastric Inflammatory Fibroid Polyp |
| title_short | A Large Gastric Inflammatory Fibroid Polyp |
| title_sort | large gastric inflammatory fibroid polyp |
| topic | Endosonography Polyps Stomach Neoplasms |
| url | http://www.sciencedirect.com/science/article/pii/S2341454514001276 |
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