颈部炎性肌纤维母细胞瘤1例报告并文献复习

Inflammatory Myofibroblastic Tumor of Neck:A Case Report and Literature Review

目的:提高对颈部炎性肌纤维母细胞瘤的认识。方法:通过对1例颈部炎性肌纤维母细胞瘤的临床资料进行分析,并复习国内外相关文献。结果:炎性肌纤维母细胞瘤是一种间叶性肿瘤,由分化的肌纤维母细胞性梭形细胞组成,常伴有大量浆细胞和(或)淋巴细胞。免疫组化vimentin、SMactin常呈强阳性表达。术后随访1 a无复发。结论:颈部炎性肌纤维母细胞瘤在临床上是一种罕见的肿瘤,其确诊主要依靠病理组织学,治疗以根治性手术为首选。

Objective：To improve the recongnization of neck inflammatory myofibroblastic tumor. Methods：The clinical data of one case of neck inflammatory myofibroblastic tumor was analyzed and the related literature was reviewed. Results ： Inflammatory mvofibroblastic tumor was a mesenchvmal neoplasm composed of transformed myofibroblastic spindle cells with infitration of a large number of inflammatory ceiland/or lymphocytes. The immunohistochemistry of Vimentin. smactin expression often showed strongly. There wasn＇t recurrence by one year follow-up. Conclusion：Neck inflammatory myofibroblastic tumor is a rare tumor. The definitive diagnosis of inflammatory myofibroblastic tumor depended on cytology of adrenal tissue.radical surgery is the first choice.