Primary gastric inflammatory myofibroblastic tumor treated with non‐exposed endoscopic wall‐inversion surgery (NEWS): A case report and literature review

Abstract Inflammatory myofibroblastic tumor (IMT) is an intermediate malignancy with myofibroblast proliferation and inflammatory cell infiltration with malignant potential. Primary IMTs are predominantly reported in the lungs, while gastric IMTs are very rare. Therefore, no guidelines exist for the...

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Main Authors: Yuka Masuda, Yoshikazu Kanazawa, Osamu Goto, Daisuke Kakinuma, Kazutoshi Higuchi, Eriko Koizumi, Ryosuke Nakata, Nobuyuki Sakurazawa, Fumihiko Ando, Mikito Suzuki, Toshiro Yoshiyuki, Shunji Kato, Ryuji Ohashi, Mitsuru Kaise, Katsuhiko Iwakiri, Hiroshi Yoshida
Format: Article
Language:English
Published: Wiley 2024-04-01
Series:DEN Open
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Online Access:https://doi.org/10.1002/deo2.243
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author Yuka Masuda
Yoshikazu Kanazawa
Osamu Goto
Daisuke Kakinuma
Kazutoshi Higuchi
Eriko Koizumi
Ryosuke Nakata
Nobuyuki Sakurazawa
Fumihiko Ando
Mikito Suzuki
Toshiro Yoshiyuki
Shunji Kato
Ryuji Ohashi
Mitsuru Kaise
Katsuhiko Iwakiri
Hiroshi Yoshida
author_facet Yuka Masuda
Yoshikazu Kanazawa
Osamu Goto
Daisuke Kakinuma
Kazutoshi Higuchi
Eriko Koizumi
Ryosuke Nakata
Nobuyuki Sakurazawa
Fumihiko Ando
Mikito Suzuki
Toshiro Yoshiyuki
Shunji Kato
Ryuji Ohashi
Mitsuru Kaise
Katsuhiko Iwakiri
Hiroshi Yoshida
author_sort Yuka Masuda
collection DOAJ
description Abstract Inflammatory myofibroblastic tumor (IMT) is an intermediate malignancy with myofibroblast proliferation and inflammatory cell infiltration with malignant potential. Primary IMTs are predominantly reported in the lungs, while gastric IMTs are very rare. Therefore, no guidelines exist for the diagnosis and treatment of gastric IMTs. The present case is a 39‐year‐old man diagnosed with an asymptomatic gastric submucosal tumor. Considering the malignancy of the tumor, we selected non‐exposed endoscopic wall‐inversion surgery as the resection method and successfully performed local resection. Histopathological analysis showed myofibroblast proliferation and inflammatory cell infiltration, with a diagnosis of primary gastric IMT and negative resection margins. Immunohistochemical staining was negative for anaplastic lymphoma kinase. To the best of our knowledge, including our case, there have been 52 reported cases of primary gastric IMTs that have been treated, with several recurrent cases. In this study, we report the first case of local resection of gastric IMT using non‐exposed endoscopic wall‐inversion surgery, with a literature review.
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institution Kabale University
issn 2692-4609
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publishDate 2024-04-01
publisher Wiley
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spelling doaj-art-ebea6da62ae14d5dae28b8572ebbf9282025-08-20T03:59:36ZengWileyDEN Open2692-46092024-04-0141n/an/a10.1002/deo2.243Primary gastric inflammatory myofibroblastic tumor treated with non‐exposed endoscopic wall‐inversion surgery (NEWS): A case report and literature reviewYuka Masuda0Yoshikazu Kanazawa1Osamu Goto2Daisuke Kakinuma3Kazutoshi Higuchi4Eriko Koizumi5Ryosuke Nakata6Nobuyuki Sakurazawa7Fumihiko Ando8Mikito Suzuki9Toshiro Yoshiyuki10Shunji Kato11Ryuji Ohashi12Mitsuru Kaise13Katsuhiko Iwakiri14Hiroshi Yoshida15Department of Gastrointestinal and Hepato‐biliary‐pancreatic Surgery Nippon Medical School Hospital Tokyo JapanDepartment of Gastrointestinal and Hepato‐biliary‐pancreatic Surgery Nippon Medical School Hospital Tokyo JapanDepartment of Gastroenterology Nippon Medical School Hospital Tokyo JapanDepartment of Gastrointestinal and Hepato‐biliary‐pancreatic Surgery Nippon Medical School Hospital Tokyo JapanDepartment of Gastroenterology Nippon Medical School Hospital Tokyo JapanDepartment of Gastroenterology Nippon Medical School Hospital Tokyo JapanDepartment of Gastrointestinal and Hepato‐biliary‐pancreatic Surgery Nippon Medical School Hospital Tokyo JapanDepartment of Gastrointestinal and Hepato‐biliary‐pancreatic Surgery Nippon Medical School Hospital Tokyo JapanDepartment of Gastrointestinal and Hepato‐biliary‐pancreatic Surgery Nippon Medical School Hospital Tokyo JapanDepartment of Gastrointestinal and Hepato‐biliary‐pancreatic Surgery Nippon Medical School Hospital Tokyo JapanDepartment of Gastrointestinal and Hepato‐biliary‐pancreatic Surgery Nippon Medical School Hospital Tokyo JapanDepartment of Gastrointestinal and Hepato‐biliary‐pancreatic Surgery Nippon Medical School Hospital Tokyo JapanDepartment of Diagnostic Pathology Nippon Medical School Hospital Tokyo JapanDepartment of Gastroenterology Nippon Medical School Hospital Tokyo JapanDepartment of Gastroenterology Nippon Medical School Hospital Tokyo JapanDepartment of Gastrointestinal and Hepato‐biliary‐pancreatic Surgery Nippon Medical School Hospital Tokyo JapanAbstract Inflammatory myofibroblastic tumor (IMT) is an intermediate malignancy with myofibroblast proliferation and inflammatory cell infiltration with malignant potential. Primary IMTs are predominantly reported in the lungs, while gastric IMTs are very rare. Therefore, no guidelines exist for the diagnosis and treatment of gastric IMTs. The present case is a 39‐year‐old man diagnosed with an asymptomatic gastric submucosal tumor. Considering the malignancy of the tumor, we selected non‐exposed endoscopic wall‐inversion surgery as the resection method and successfully performed local resection. Histopathological analysis showed myofibroblast proliferation and inflammatory cell infiltration, with a diagnosis of primary gastric IMT and negative resection margins. Immunohistochemical staining was negative for anaplastic lymphoma kinase. To the best of our knowledge, including our case, there have been 52 reported cases of primary gastric IMTs that have been treated, with several recurrent cases. In this study, we report the first case of local resection of gastric IMT using non‐exposed endoscopic wall‐inversion surgery, with a literature review.https://doi.org/10.1002/deo2.243gastric tumorinflammatory myofibroblastic tumorLECSNEWSstomach
spellingShingle Yuka Masuda
Yoshikazu Kanazawa
Osamu Goto
Daisuke Kakinuma
Kazutoshi Higuchi
Eriko Koizumi
Ryosuke Nakata
Nobuyuki Sakurazawa
Fumihiko Ando
Mikito Suzuki
Toshiro Yoshiyuki
Shunji Kato
Ryuji Ohashi
Mitsuru Kaise
Katsuhiko Iwakiri
Hiroshi Yoshida
Primary gastric inflammatory myofibroblastic tumor treated with non‐exposed endoscopic wall‐inversion surgery (NEWS): A case report and literature review
DEN Open
gastric tumor
inflammatory myofibroblastic tumor
LECS
NEWS
stomach
title Primary gastric inflammatory myofibroblastic tumor treated with non‐exposed endoscopic wall‐inversion surgery (NEWS): A case report and literature review
title_full Primary gastric inflammatory myofibroblastic tumor treated with non‐exposed endoscopic wall‐inversion surgery (NEWS): A case report and literature review
title_fullStr Primary gastric inflammatory myofibroblastic tumor treated with non‐exposed endoscopic wall‐inversion surgery (NEWS): A case report and literature review
title_full_unstemmed Primary gastric inflammatory myofibroblastic tumor treated with non‐exposed endoscopic wall‐inversion surgery (NEWS): A case report and literature review
title_short Primary gastric inflammatory myofibroblastic tumor treated with non‐exposed endoscopic wall‐inversion surgery (NEWS): A case report and literature review
title_sort primary gastric inflammatory myofibroblastic tumor treated with non exposed endoscopic wall inversion surgery news a case report and literature review
topic gastric tumor
inflammatory myofibroblastic tumor
LECS
NEWS
stomach
url https://doi.org/10.1002/deo2.243
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