title: Inflammatory fibroid polyp. A case report and review of the literature.
abstract: BACKGROUND
  The Inflammatory fibroid polyp (IFP) is a mesenchymal polypoid lesion of the gastrointestinal tract that follows a benign course. Incidence is extremely low: from 0,1% to 2 %. Histologically, it consists of a sub mucous proliferation of vascolarized fibromuscolar tissue with a high eosinophils inflammatory infiltration. IFP can arise everywhere in the gastrointestinal tract but is described more frequently in the gastric antrum (70%).
  
  
  METHODS
  We report a case of a 71-year-old woman presented to our department with a worsening history of lack's appetite, nausea and early satiety. We performed a review of the literature from 1949 to 2011. 196 cases of IFPs were found.
  
  
  CONCLUSIONS
  Clinical symptoms are heterogeneous and endoscopy's examination revealed only presence of a sub-mucosal lesion, and their biopsies often gave not diagnostic localization. In the differential diagnosis, it's important to discern between eosinophilic gastroenteritis, gastrointestinal stromal tumor, inflammatory pseudotumor, hemangioendothelioma, and hemangiopericytoma. Eco-endoscopic appearance and biopsies associated may provide useful informations, that can steer to the diagnostic suspect of IFP. Despite this is a benign lesion, this one often needs a surgical excision on healthy margin. In literature is also described high local recurrence, specially when incomplete excision proceeded.
  
  
  BACKGROUND
  Gastric sub-mucosal tumor, Inflammatory fibroid polyp, Stomach, Vanek's Tumor.
authors: Policlinico Tor Vergata, Roma, Italy. piero.rossi.box@alice.it
authors: Piero
authors: P
authors: Rossi
authors: Mauro
authors: M
authors: Montuori
authors: Valerio
authors: V
authors: Balassone
authors: Edoardo
authors: E
authors: Ricciardi
authors: Lucia
authors: L
authors: Anemona
authors: Antonio
authors: A
authors: Manzelli
authors: Giuseppe
authors: G
authors: Petrella
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D007249:Inflammation / Q000150:complications / Q000473:pathology; D011127:Polyps / Q000150:complications / Q000473:pathology*; D013274:Stomach Neoplasms / Q000150:complications / Q000473:pathology*