Locally infiltrative inflammatory fibroid polyp of the ileum: report of a case showing transmural proliferation.
Morphologically, an inflammatory fibroid polyp (IFP) is usually centred in the submucosa. Extension of an IFP to the subserosa with destruction of the muscularis propria is exceedingly rare. Herein, we describe a 70-year-old woman who presented with right lower abdominal pain but was finally diagnosed with an IFP. Contrast-enhanced computed tomography revealed a target-like structure with a hypovascular mass at the leading edge, which was consistent with intussusception due to a tumour. Following surgery, the resected specimen displayed a mass measuring 4 × 3 × 3 cm that was protruding into the lumen. Microscopically, the mass was centred in the submucosa, extending up to the mucosal surface and down to the subserosa and serosa. The muscularis mucosae and muscularis propria were destroyed focally. A PDGFRA gene mutation in exon 2 (1837_1851 del) that was found in this case, as well as a highly infiltrative growth pattern, strongly supported the neoplastic nature of IFP.
Department of Pathology, Shizuoka Saiseikai General Hospital, Shizuoka, Japan stajima-tky@umin.ac.jp.
Shogo
S
Tajima
Department of Pathology, Fujieda Municipal General Hospital, Shizuoka, Japan.
Kenji
K
Koda
inflammatory fibroid polyp; serosa; subserosa; transmural proliferation