Inflammatory fibroid polyps in children:A new case report and a systematic review of the pediatric literature

作     者：Laura Righetti Filippo Parolini Paolo Cengia Giovanni Boroni Maurizio Cheli Aurelio Sonzogni Daniele Alberti 

作者机构：Department of Pediatric SurgerySpedali Civili Hospital Department of SurgerySpedali Civili Hospital Department of Pediatric SurgeryPapa Giovanni XXXIII Hospital Department of PathologyPapa Giovanni XXXIII Hospital Department of Pediatric SurgerySpedali Civili HospitalUniversity of Brescia 

出 版 物：《World Journal of Clinical Pediatrics》 (世界临床儿科杂志)

年 卷 期：2015年第4卷第4期

页      面：160-166页

学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

主　　题：Inflammatory fibroid polyp Duodenum Ultrasound endoscopy Children Surgery 

摘      要：AIM: To study that inflammatory fibroid polyps(IFPs) in children are extremely uncommon tumors that may occur throughout the gastrointestinal tract. METHODS: A systematic review of the pediatric literature and a report of a new case of IFP is also pres-ented. The Pub Med database was searched for original studies on pediatric IFPs since 1960, according to Preferred reporting items for systematic reviews and meta-analyses guidelines for systematic reviews. RESULTS: Five studies were finally enclosed, encompassing 6 children with IFPs(mean age 64 mo). Tumors were located in the stomach(2 patients), in the small bowel(2 patients), in the rectum(1 patient) and in the colon(1 patient). Open surgery was performed in all patients and complete excision of the mass was achieved in all cases. All patients are alive and free of symptom. Authors described a further case of a 3-year-old boy with a large duodenal IFP, in whom the tumor was removed by en block resection. The presence of IFP throughout the gastrointestinal tract and its variable clinical appearances make it difficult to diagnose. An accurate pre-operative assessment is fundamental in order to differentiate IFP from other more aggressive gastrointestinal tumor, enabling unnecessary demolitive surgery. CONCLUSION: When complete resection of the IFP is achieved, the prognosis is excellent.