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Korean J Helicobacter  Up Gastrointest Res > Volume 15(4); 2015 > Article
The Korean Journal of Helicobacter  and Upper Gastrointestinal Research 2015;15(4):254-257.
DOI: https://doi.org/10.7704/kjhugr.2015.15.4.254    Published online December 10, 2015.
A Case of Invasion of Muscularis Propria of Gastric Inflammatory Fibroid Polyp
Ji Hyeon Lee, Jin Sae Yoo, Ho Yeon Jung, Hee Man Kim, Hun Ryu, Mee Yon Cho, Hyun Soo Kim
1Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea. hyskim@yonsei.ac.kr
2Department of General Surgery, Yonsei University Wonju College of Medicine, Wonju, Korea.
3Department of Pathology, Yonsei University Wonju College of Medicine, Wonju, Korea.
Abstract
Inflammatory fibroid polyp (IFP) is an uncommon benign tumor and a proliferative disease localized to the submucosal area of the gastrointestinal tract. IFP has been detected more frequently with the increasing use of endoscopy. Histologically, gastric IFP is mostly limited to the submucosa, rarely invading the muscle layer. However, we experienced a case of gastric IFP invading the proper muscle layer. A 62-year-old man was referred for evaluation of epigastric pain. Contrast enhanced computed tomography of the abdomen and endoscopic examination revealed a stomach mass. IFP was histologically confirmed by surgical resection, and the patient was discharged without complication. IFP originating in the stomach that invades the muscularis propria is rare compared to that originating in the large or small intestine. The incidence of gastric IFP is relatively low. Invasion of the muscularis propria by IFP depends not only on the location but also the size of the IFP. There have been no published reports on the outcomes of gastric IFP invading the muscularis propria, therefore close follow-up of the present patient is important.
Key Words: Inflammatory fibroid polyp; Stomach
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