Korean J Gastroenterol.  2018 Dec;72(6):322-324. 10.4166/kjg.2018.72.6.322.

Growing Gastric Inflammatory Fibroid Polyp Treated by Endoscopic Submucosal Dissection with Snaring Technique

• Kim H
• Choi J

• KMID: 2429951
• DOI: http://doi.org/10.4166/kjg.2018.72.6.322

Abstract

No abstract available.

MeSH Terms

Leiomyoma*
Polyps*
SNARE Proteins*
SNARE Proteins

Figure

• 

  Fig. 1 (A) Upper endoscopy showed 1 cm sized subepithelial lesion with central depression was located at the antrum. (B) Endoscopic ultrasonography showed ill-defined hypoechoic lesion located in the submucosal layer (arrow).

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  Fig. 2 (A) Upper endoscopy showed semi-pedunculated, 3 cm sized subepithelial mass with central depression was located at the antrum. (B) Endoscopic ultrasonography showed hypoechoic mass originating from the muscularis mucosa (arrow).

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  Fig. 3 (A) Subepithelial tumor was almost removed by endoscopic submucosal dissection with snare technique. (B) Macroscopically, the non-capsulated solid tumor had round yellowish core. (C, D) Resected tumor.

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  Fig. 4 (A, B) Histology was compatible with inflammatory fibroid polyp presenting typical concentric onion-skin pattern of the stroma and inflammatory cells around vessels (arrows) (A, H&E, ×100; B, H&E, ×400).

Reference

1. Liu TC, Lin MT, Montgomery EA, Singhi AD. Inflammatory fibroid polyps of the gastrointestinal tract: spectrum of clinical, morphologic, and immunohistochemistry features. Am J Surg Pathol. 2013; 37:586–592.

2. Albuquerque A, Rios E, Carneiro F, Macedo G. Evaluation of clinico-pathological features and Helicobacter pylori infection in gastric inflammatory fibroid polyps. Virchows Arch. 2014; 465:643–647.

3. Kang HC, Menias CO, Gaballah AH, et al. Beyond the GIST: mesenchymal tumors of the stomach. Radiographics. 2013; 33:1673–1690.

4. Miyata T, Yamamoto H, Kita H, et al. A case of inflammatory fibroid polyp causing small-bowel intussusception in which retrograde double-balloon enteroscopy was useful for the preoperative diagnosis. Endoscopy. 2004; 36:344–347.

5. Hizawa K, Iida M, Tada S, et al. Endoscopic evaluation of gastric inflammatory fibroid polyp. Surg Endosc. 1995; 9:397–400.

6. Matsushita M, Uchida K, Nishio A, Okazaki K. Endoscopic and EUS features of gastric inflammatory fibroid polyps. Gastrointest Endosc. 2009; 69:188. author reply 188-189.

7. Pantanowitz L, Antonioli DA, Pinkus GS, Shahsafaei A, Odze RD. Inflammatory fibroid polyps of the gastrointestinal tract: evidence for a dendritic cell origin. Am J Surg Pathol. 2004; 28:107–114.

8. Mucientes P, Mucientes F, Klaassen R. Inflammatory fibroid polyp associated with early gastric carcinoma: a case report. Ann Diagn Pathol. 2012; 16:148–151.

9. Kim HS, Kim JI, Koh MB, et al. Gastric inflammatory fibroid polyp resected by endoscopic submucosal dissection. Korean J Gastrointest Endosc. 2009; 38:224–228.

10. Kim YI, Kim WH. Inflammatory fibroid polyps of gastrointestinal tract: evolution of histologic patterns. Am J Clin Pathol. 1988; 89:721–727.

11. Kim HC, Yang DM, Jin W, Nam DH, Kim GY, Choi SI. CT findings of a gastric inflammatory fibroid polyp manifesting as unexpected growth: a case report. J Korean Soc Radiol. 2009; 60:271–274.

12. Kim KH, Seo HJ, Kim JI, et al. Inflammatory fibroid polyp of the stomach mimicking gastric cancer. J Korean Surg Soc. 2003; 65:72–75.

13. Lee JH, Yoo JS, Jung HY, et al. A case of invasion of muscularis propria of gastric inflammatory fibroid polyp. Korean J Helicobacter Up Gastrointest Res. 2015; 15:254–257.

14. Cho NH, Jeong HJ, Kim HG. A pathological and immunohistochemical study of 9 cases of inflammatory fibroid polyp. Korean J Pathol. 1989; 23:20–28.

15. Han GJ, Kim JH, Lee SS, Park SH, Lee JS, Ha HK. Inflammatory fibroid polyps of the gastrointestinal tract: a 14-year CT study at a single institution. Abdom Imaging. 2015; 40:2159–2166.

16. Kim MK, Higgins J, Cho EY, Ko YH, Oh YL. Expression of CD34, bcl-2, and kit in inflammatory fibroid polyps of the gastrointestinal tract. Appl Immunohistochem Mol Morphol. 2000; 8:147–153.

17. Harima H, Kimura T, Hamabe K, et al. Invasive inflammatory fibroid polyp of the stomach: a case report and literature review. BMC Gastroenterol. 2018; 18:74.

18. Zinkiewicz K, Zgodzinski W, Dabrowski A, Szumilo J, Cwik G, Wallner G. Recurrent inflammatory fibroid polyp of cardia: a case report. World J Gastroenterol. 2004; 10:767–768.