Deepening the Impression - A Case of Inflammatory Myofibroblastic Tumor of Esophagus and Gastric

1 Case introduction

A 11-year-old female patient developed a sense of obstruction after eating one and a half years ago, with occasional vomiting, no acid regurgitation, belching, no retrosternal burning, no obvious incentive, and no treatment.

Figure A.

Preliminary diagnosis: The space-occupying space in the cardia involves the lower esophagus and the lesser curvature of the gastric fundus.

Figure C.

Gastroscopy showed that nodular mass was seen 30 cm from the incisors of the esophagus, the surface was eroded, the surrounding tube wall was slightly stiff, the lumen was narrow, and the endoscope could not pass

Figure D.

Immunohistochemistry: Cladesmin(-), desmin(-), SMA(+++), ALK(-), CD117(-), S-100(-), P53(-), actin(+), Vim (+), Ki-67 index 10%, supporting the above diagnosis

2 Discussion

IMT is a mesenchymal tumor that can occur in a variety of tissues.

The patient in this case was 11 years old, which was consistent with the former

In this case, barium angiography of the digestive tract of the child showed concentric stenosis in the lower esophagus, irregular filling defects in the fundus and the lesser curvature of the gastric body, and the mucosal surface was not smooth, but there was no malignant tumor such as cardia cancer, which is common when the tumor is large.