Inflammatory fibroid polyps of the gastrointestinal tract: a 14-year CT study at a single institution

Verfasser / Beitragende:
[Ga Han, Jin Kim, Seung Lee, Seong Park, Jong Lee, Hyun Ha]
Ort, Verlag, Jahr:
2015
Enthalten in:
Abdominal Imaging, 40/7(2015-10-01), 2159-2166
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00261-015-0431-y  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00261-015-0431-y 
245 0 0 |a Inflammatory fibroid polyps of the gastrointestinal tract: a 14-year CT study at a single institution  |h [Elektronische Daten]  |c [Ga Han, Jin Kim, Seung Lee, Seong Park, Jong Lee, Hyun Ha] 
520 3 |a Purpose: To investigate the computed tomography (CT) features of pathology-proven inflammatory fibroid polyps (IFPs) in the gastrointestinal tract. Methods: This retrospective series study included 27 patients with pathology-proven IFPs in the stomach (n=16), small (n=9), and large (n=2) intestine, who underwent contrast-enhanced CT. Two radiologists reviewed the CT images of the patients to determine in consensus the long diameter, shape, margin, contour, and growth pattern of the lesions, the presence of an ulcer and overlying mucosal hyperenhancement, the lesion enhancement patterns including the homogeneity and the degree of contrast enhancement, and the presence of intussusception and obstruction. The CT results and clinical data of the gastric and intestinal lesions were compared. Results: The IFPs typically manifested as well-defined (89%), round or ovoid (81%), slightly lobulated-contoured (70%) masses with a purely endoluminal growth pattern (96%) and an overlying mucosal hyperenhancement (67%). Lesion homogeneity and the degree of contrast enhancement varied. The intestinal IFPs were significantly larger (3.5 vs. 2cm), more symptomatic (82% vs. 19%), and more frequently associated with intussusception (73% vs. 0%) and obstruction (46% vs. 6%) than the gastric lesions (p≤0.027). Conclusions: The characteristic CT features of IFPs were well-defined, round or ovoid, lobulated-contoured, and endoluminal masses with overlying mucosal hyperenhancement and various enhancement patterns. IFP should be included in the differential diagnosis of patients with a soft-tissue mass in the gastrointestinal tract, especially if a large endoluminal mass in the small intestine is accompanied by intussusception. 
540 |a Springer Science+Business Media New York, 2015 
690 7 |a Inflammatory fibroid polyp  |2 nationallicence 
690 7 |a Gastrointestinal tract  |2 nationallicence 
690 7 |a CT  |2 nationallicence 
690 7 |a Intussusception  |2 nationallicence 
700 1 |a Han  |D Ga  |u Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-ro, 43-gil, Songpa-Gu, 138-736, Seoul, Korea  |4 aut 
700 1 |a Kim  |D Jin  |u Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-ro, 43-gil, Songpa-Gu, 138-736, Seoul, Korea  |4 aut 
700 1 |a Lee  |D Seung  |u Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-ro, 43-gil, Songpa-Gu, 138-736, Seoul, Korea  |4 aut 
700 1 |a Park  |D Seong  |u Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-ro, 43-gil, Songpa-Gu, 138-736, Seoul, Korea  |4 aut 
700 1 |a Lee  |D Jong  |u Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-ro, 43-gil, Songpa-Gu, 138-736, Seoul, Korea  |4 aut 
700 1 |a Ha  |D Hyun  |u Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-ro, 43-gil, Songpa-Gu, 138-736, Seoul, Korea  |4 aut 
773 0 |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/7(2015-10-01), 2159-2166  |x 0942-8925  |q 40:7<2159  |1 2015  |2 40  |o 261 
856 4 0 |u https://doi.org/10.1007/s00261-015-0431-y  |q text/html  |z Onlinezugriff via DOI 
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950 |B NATIONALLICENCE  |P 700  |E 1-  |a Han  |D Ga  |u Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-ro, 43-gil, Songpa-Gu, 138-736, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Kim  |D Jin  |u Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-ro, 43-gil, Songpa-Gu, 138-736, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lee  |D Seung  |u Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-ro, 43-gil, Songpa-Gu, 138-736, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Park  |D Seong  |u Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-ro, 43-gil, Songpa-Gu, 138-736, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Lee  |D Jong  |u Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-ro, 43-gil, Songpa-Gu, 138-736, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ha  |D Hyun  |u Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, 88 Olympic-ro, 43-gil, Songpa-Gu, 138-736, Seoul, Korea  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Abdominal Imaging  |d Springer US; http://www.springer-ny.com  |g 40/7(2015-10-01), 2159-2166  |x 0942-8925  |q 40:7<2159  |1 2015  |2 40  |o 261