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Year : 2014  |  Volume : 10  |  Issue : 2  |  Page : 425-427

Management of rectal inflammatory myofibroblastic tumor recurrence

1 Department of Oncology, People's Hospital of Bishan County, Bishan, Chongqing, China
2 Division of Abdominal Cancer, Cancer Center, West China Hospital, Sichuan University, Chengdu, China

Correspondence Address:
Xin Wang
Division of Abdominal Cancer, Cancer Center, West China Hospital, Sichuan University, Chengdu 610041
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0973-1482.136679

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Inflammatory myofibroblastic tumor (IMT) is an uncommon mesenchymal neoplasm of intermediate malignant potential. It may occur in various anatomic locations, but rarely in the rectum. This is a case discussion of a 36-year-old male patient with IMT of the rectum. After the patient underwent radical surgery, recurrence was seen after 18 months. Because the tumor was very close to the surrounding tissue, palliative tumor resection was performed followed by concurrent chemo-radiation and non-steroidal anti-inflammatory drugs (NSAID). After 2-year follow-up, the patient has no evidence of recurrence or metastasis. Surgical resection is very important for patient with rectal IMT, even in relapse cases. And adjuvant chemoradiotherapy and NSAID are in favor of the incompletely resected tumors as our case. But perhaps, the adjuvant treatments could be helpful after radical resection of rectal tumor.

Abstract in Chinese

恶性直肠炎性肌纤维母细胞瘤复发 摘要 炎性肌纤维母细胞瘤(IMT)是一种罕见的间充质中间潜在恶性肿瘤。它可能在不同的解剖部位发生,但很少在直肠。这是一个36岁的男性患者,直肠IMT的案例讨论。患者接受了根治性手术后,18个月后复发。因为肿瘤非常接近周围组织,姑息性肿瘤切除术后行同步放化疗,并予非甾体类抗炎药(NSAID)。2年随访后,病人没有复发或转移的证据。手术切除直肠IMT患者是非常重要的,即使在复发的病例。辅助放化疗和NSAID在我们病例中可取代不完全的肿瘤切除。但也许,直肠癌根治术后辅助治疗会有帮助。 关键词:放化疗,炎性肌纤维母细胞瘤,非甾体类抗炎药,复发

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