临床小儿外科杂志2024,Vol.23Issue(2):178-183,6.DOI:10.3760/cma.j.cn101785-202308019-015
儿童胃肠道炎性肌纤维母细胞瘤的诊断与治疗
Diagnosis and treatment of inflammatory myofibroblastic tumor of gastrointestinal tract in children
摘要
Abstract
Objective To summarize the clinical characteristics and treatment experience of gastrointes-tinal inflammatory myofibroblastic tumor(IMT)in children.Methods From January 2010 to December 2021,retrospective analysis was performed for the relevant clinical data of 11 children of abdominal gastrointes-tinal IMT.Clinical manifestations,radiographic features,pathological examinations,surgical approaches and fol-low-up results were recorded.And the related literatures of pediatric abdominal inflammatory myofibroblastic tumors were retrieved.Results There were 7 boys and 4 girls with a median onset age of 56(8-180)months.The major symptoms were abdominal pain,vomiting,fever,bloody stool and abdominal lump.Total re-section(n=10)was performed and postoperative chemotherapy(n=1)offered.And one child underwent bi-opsy plus postoperative chemotherapy.The follow-up period was(6-60)months until December 2022.Nine children were cured and 2 cases survived with tumors.One child recurred at 2 years post-operation.Conclu-sions The incidence of gastrointestinal IMT in children is rare.Surgery is a preferred option.Proper manage-ments of recurrent and refractory IMT require extensive experiences and further researches.关键词
肿瘤,肌组织/胃肠肿瘤/炎症/诊断/治疗/预后/儿童Key words
Neoplasms,Muscle Tissue/Gastrointestinal Neoplasms/Inflammation/Diagnosis/Thera-py/Prognosis/Child引用本文复制引用
刘登辉,黎明,唐湘莲,黄召,向强兴,周宇翔,李勇..儿童胃肠道炎性肌纤维母细胞瘤的诊断与治疗[J].临床小儿外科杂志,2024,23(2):178-183,6.基金项目
湖南省卫生健康委科研计划课题(202104081314) (202104081314)
湖南省自然科学基金-面上项目(2023JJ30323)Scientific Research Project of Hunan Provincial Health Commission(202104081314):General Project of Natural Science Foundation of Hunan Province(2023JJ30323) (2023JJ30323)