Calcifying Fibrous Tumor Mimicking a Foreign Body ofthe Stomach: A Case Report.
- Author:
Ji Eun JEONG
1
;
Kyung Hun LEE
;
Hyun Jung SUNG
;
Chang Ho CHO
Author Information
1. Department of Pediatrics, School of Medicine, Catholic University of Daegu, Daegu, Korea. pedkhlee@cu.ac.kr
- Publication Type:Case Report
- Keywords:
Calcifying fibrous tumor;
Gastric wall;
Calcifications;
Child
- MeSH:
Actins;
Biopsy;
Child;
Collagen;
Desmin;
Endoscopy;
Fibroblasts;
Foreign Bodies;
Humans;
Hyalin;
Incidental Findings;
Lymphoma;
Muscle, Smooth;
Peritoneum;
Pleura;
Preschool Child;
Stomach;
Vomiting
- From:Korean Journal of Pediatric Gastroenterology and Nutrition
2009;12(1):57-63
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Calcifying fibrous tumors (CFTs) are unusual benign tumors of childhood, located primarily in soft tissues, pleura, and peritoneum. The cause and pathogenesis are unclear. We report a rare case of a CFT in a 2-year-old boy who presented with vomiting and abdominal distension. An abdominal X-ray showed an elliptical, calcific shadow in the LUQ area mimicking a foreign body. An internally protruding mass along the lesser curvature of the gastric body was an incidental finding during upper endoscopy, biopsies of which were negative. Abdominal CT showed a 4.5x3.2 cm soft tissue mass of the gastric wall with calcifications. A diagnosis of gastric submucosal mass was suspected and a wedge resection of the stomach was performed. On microscopic examination, the tumor was composed of whorls of dense hyalinized collagen bundles with a few fibroblasts. There were also amorphous dystrophic calcifications and nodular aggregates of mononuclear inflammatory cells. Immunohistochemically, spindle cells did not stain for anaplastic lymphoma kinase-1 (ALK-1), CK, smooth muscle actin (SMA), or desmin. Taken together, the mass was compatible with a CFT of the gastric wall. This is the first reported case of CFT in a Korean child.
