Rare Gastric Inflammatory Myofibroblastic Tumor in an Adult Woman: A Case Report with Review of the Literature

Author:

Ribeiro Maxwel Capsy Boga1,Lopes Luiz Roberto1,de Souza Neto João Coelho1,Meirelles Luciana Rodrigues1,de Carvalho Rita Barbosa1,Andreollo Nelson Adami1

Affiliation:

1. Department of Surgery and Pathology, Faculty of Medical Sciences, State University of Campinas (Unicamp), Rua Tessália Vieira de Camargo, 126 Cidade Universitária Zeferino Vaz, 13083-887 Campinas, SP, Brazil

Abstract

Inflammatory myofibroblastic tumor (IMT) of the stomach is extremely rare and its prognosis is unpredictable. We present a 37-year-old woman with a gastric IMT. She presented epigastric pain since 2 months, anemia and weight loss associated. Physical examination showed cutaneous pallor and mild abdominal tenderness in the epigastrium. Abdominal ultrasonography showed a tumor near the pancreas and the CT scan revealed that the lesion was arising from the stomach. Upper endoscopy showed a submucosal lesion of approximately 7.5 cm located in the posterior wall of the gastric body such as a gastrointestinal stromal tumor (GIST). The patient underwent a subtotal gastrectomy and Billroth I reconstruction. The histopathological and immunohistochemical analysis revealed an IMT that originated from the gastric wall.

Publisher

Hindawi Limited

Subject

General Medicine

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