摘要
普遍认为炎性成肌纤维细胞瘤(IMT)是一种炎性假瘤,实际上是一种缓慢生长的类似肿瘤的病变,具有明确的组织学改变和良性的临床过程。本篇报道了1例12岁女性患者,其颈部IMT已浸入气管,并导致哮喘样症状。气管和颈部的IMT均已有报道,但这种浸润形式以前未见报道。本篇讨论了IMT的相关文献综述、病因学、诊断、治疗及预后。IMT的鉴别诊断很重要,因很容易被误诊为恶性肿瘤。这种病变的特点决定了外科医生必须等到最终的病理学诊断确定后,才能对患者实施根治术、放疗或者化疗。
Inflammatory myofibroblastic tumor (IMT), popularly known as inflammatory pseudotumor, is a slow growing quasi-neoplastic lesion with a distinct histologic appearance and benign clinical course. A case of a neck IMT with infiltration into the trachea causing asthmalike symptoms in a 12 - year-old girl is described. Both tracheal and neck IMT have been described, but no other case has displayed this infiltration. A review of the pertinent literature and the e-tiology, diagnosis, treatment, and outcomes of this tumor are discussed. It is important to consider IMT in a differential diagnosis because it can be easily misdiagnosed as a malignancy. A surgeon must not perform radical surgery, radiation, or chemotherapy until a final pathologic diagnosis is made because of the nature of this lesion.
