A case report of hepatic inflammatory myofibroblastic tumor in a pediatric patient: diagnostic challenges and management strategies.

IF 1.3 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Journal of Ultrasound Pub Date : 2024-12-17 DOI:10.1007/s40477-024-00975-9

Marcello Napolitano, Beatrice Lama, Anna Maria Ierardi, Clarissa Valle, Eugenio Rossi, Rocco Minelli, Giuseppe Paviglianiti, Gianpaolo Di Rosa, Michelangelo Baldazzi, Gian Paolo Carrafiello

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Abstract

Purpose: The aim of this study is to present a case of inflammatory myofibroblastic tumor (IMT) of the liver in a 4-year-old girl. We will discuss the diagnostic challenges, the role of the radiologist in differential diagnosis, treatment modalities, and clinical outcomes.

Methods: A case report of a 4-year-old girl with IMT of the liver is presented. We will review the patient's clinical presentation, diagnostic imaging findings, histological features, treatment, and follow-up.

Results: The patient presented with vomiting and jaundice, but no fever. Imaging studies revealed an hepatic lesion suspicious for IMT; pathology confirmed the diagnosis. The patient underwent surgical intervention with successful resolution.

Conclusion: IMT of the liver is a rare but important diagnosis to consider in children with abdominal masses. Radiologists play a crucial role in differential diagnosis. Surgical resection can be an effective treatment option for IMT, leading to favorable clinical outcomes.

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1例小儿肝炎性肌成纤维细胞瘤：诊断挑战和治疗策略。

目的：本研究的目的是提出一个4岁女孩肝脏炎症性肌纤维母细胞瘤（IMT）的病例。我们将讨论诊断的挑战，放射科医生在鉴别诊断、治疗方式和临床结果中的作用。方法：报告1例4岁女童肝脏IMT。我们将回顾患者的临床表现、诊断影像表现、组织学特征、治疗和随访。结果：患者出现呕吐、黄疸，无发热。影像学检查显示肝脏病变疑似IMT；病理证实了诊断。患者接受手术治疗，治疗成功。结论：肝脏IMT是一种罕见但重要的诊断，应考虑儿童腹部肿块。放射科医生在鉴别诊断中起着至关重要的作用。手术切除是治疗IMT的有效选择，可获得良好的临床结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Ultrasound RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-

CiteScore

4.10

自引率

15.00%

发文量

133

期刊介绍： The Journal of Ultrasound is the official journal of the Italian Society for Ultrasound in Medicine and Biology (SIUMB). The journal publishes original contributions (research and review articles, case reports, technical reports and letters to the editor) on significant advances in clinical diagnostic, interventional and therapeutic applications, clinical techniques, the physics, engineering and technology of ultrasound in medicine and biology, and in cross-sectional diagnostic imaging. The official language of Journal of Ultrasound is English.