title: Inflammatory fibroid polyps in children: A new case report and a systematic review of the pediatric literature.
abstract: OBJECTIVE
  To study that inflammatory fibroid polyps (IFPs) in children are extremely uncommon tumors that may occur throughout the gastrointestinal tract.
  
  
  METHODS
  A systematic review of the pediatric literature and a report of a new case of IFP is also presented. The PubMed database was searched for original studies on pediatric IFPs since 1960, according to "Preferred reporting items for systematic reviews and meta-analyses" guidelines for systematic reviews.
  
  
  RESULTS
  Five studies were finally enclosed, encompassing 6 children with IFPs (mean age 64 mo). Tumors were located in the stomach (2 patients), in the small bowel (2 patients), in the rectum (1 patient) and in the colon (1 patient). Open surgery was performed in all patients and complete excision of the mass was achieved in all cases. All patients are alive and free of symptom. Authors described a further case of a 3-year-old boy with a large duodenal IFP, in whom the tumor was removed by "en block resection". The presence of IFP throughout the gastrointestinal tract and its variable clinical appearances make it difficult to diagnose. An accurate pre-operative assessment is fundamental in order to differentiate IFP from other more aggressive gastrointestinal tumor, enabling unnecessary demolitive surgery.
  
  
  CONCLUSIONS
  When complete resection of the IFP is achieved, the prognosis is excellent.
authors.affiliation: Laura Righetti, Filippo Parolini, Giovanni Boroni, Department of Pediatric Surgery, Spedali Civili Hospital, 25123 Brescia, Italy.
authors.forename: Laura
authors.initials: L
authors.lastname: Righetti
authors.affiliation: Laura Righetti, Filippo Parolini, Giovanni Boroni, Department of Pediatric Surgery, Spedali Civili Hospital, 25123 Brescia, Italy.
authors.forename: Filippo
authors.initials: F
authors.lastname: Parolini
authors.affiliation: Laura Righetti, Filippo Parolini, Giovanni Boroni, Department of Pediatric Surgery, Spedali Civili Hospital, 25123 Brescia, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Cengia
authors.affiliation: Laura Righetti, Filippo Parolini, Giovanni Boroni, Department of Pediatric Surgery, Spedali Civili Hospital, 25123 Brescia, Italy.
authors.forename: Giovanni
authors.initials: G
authors.lastname: Boroni
authors.affiliation: Laura Righetti, Filippo Parolini, Giovanni Boroni, Department of Pediatric Surgery, Spedali Civili Hospital, 25123 Brescia, Italy.
authors.forename: Maurizio
authors.initials: M
authors.lastname: Cheli
authors.affiliation: Laura Righetti, Filippo Parolini, Giovanni Boroni, Department of Pediatric Surgery, Spedali Civili Hospital, 25123 Brescia, Italy.
authors.forename: Aurelio
authors.initials: A
authors.lastname: Sonzogni
authors.affiliation: Laura Righetti, Filippo Parolini, Giovanni Boroni, Department of Pediatric Surgery, Spedali Civili Hospital, 25123 Brescia, Italy.
authors.forename: Daniele
authors.initials: D
authors.lastname: Alberti
keywords: Children; Duodenum; Inflammatory fibroid polyp; Surgery; Ultrasound endoscopy