Inflammatory Myofibroblastic Tumor of the Right Kidney Mimicking a Locally Advanced Renal Carcinoma: A Case Report

Clinical diagnosis and treatment of abdominal inflammatory myofibroblastic tumors

OBJECTIVE

This study aims to summarize the clinicopathological characteristics, treatment methods, and prognosis of these patients. The goal is to enhance our understanding of the disease and provide insights for the standardized diagnosis and treatment of abdominal inflammatory myofibroblastic tumors(IMT).

METHODS

This retrospective cohort study included clinical data of 26 patients with abdominal IMT admitted to the First Hospital of Jilin University between January 2015 and December 2023. The clinical manifestations, pathological features, treatment methods, and prognoses were analyzed.

RESULTS

Among 26 patients, 6 had hepatic IMT, 2 splenic IMT, and 1 abdominal wall IMT, all detected incidentally as painless masses during routine exams. Six patients with mesenteric IMT reported abdominal distension, pain, nausea, vomiting, and low-grade fever. Of five patients with gastric IMT, three had gastrointestinal bleeding, one had distension and fever, and one had dysphagia. Four small intestine cases included one asymptomatic and three with obstruction symptoms. The colon and rectal cases presented with intermittent hematochezia. Surgery was performed in 24 patients, and 2 with metastases received palliative therapy. During follow-up, five patients relapsed; three received palliative therapy, and two had surgery. At last follow-up, 20 patients were disease-free, 3 were living with tumors, and 3 had died.

CONCLUSIONS

Abdominal IMTs are rare, low-grade tumors with favorable prognoses. Pathological examination is essential for diagnosis, and surgery is the primary treatment. Adjuvant therapy depends on tumor location and risk factors. Close follow-up is necessary due to the potential for recurrence and metastasis.

Inflammatory myofibroblastic tumor of the right renal pelvis: A case report

Inflammatory myofibroblastic tumor(IMT) is an uncommon soft tissue neoplasm rarely reported in the urinary tract. A 54-year-old male presented to our institution with low back and abdominal pain, hematuria, and lower urinary tract symptoms for 2 months. We performed abdominal contrast-enhanced computed tomography (CT) and magnetic resonance imaging (MRI), which showed a mass in the right renal pelvis-inferior calyx. Then, we performed the laparoscopic radical nephroureterectomy.

Inflammatory myofibroblastic tumor of the adrenal gland: A case report

Inflammatory Myofibroblastic Tumor (IMT) occurring in the adrenal gland is extremely rare, and pathologic examination is the gold standard for confirming the diagnosis. We report a case of IMT of adrenal origin in a patient whose diagnosis was confirmed by pathological examination after surgical resection of the tumor. Although previous studies have reported an overall favorable prognosis for IMT, regular and long-term follow-up is necessary.

Sesame Seeds: A Nutrient-Rich Superfood

Sesame seeds (Sesamum indicum L.) have been cultivated for thousands of years and have long been celebrated for their culinary versatility. Beyond their delightful nutty flavor and crunchy texture, sesame seeds have also gained recognition for their remarkable health benefits. This article provides an in-depth exploration of the numerous ways in which sesame seeds contribute to overall well-being. Sesame seeds are a powerhouse of phytochemicals, including lignans derivatives, tocopherol isomers, phytosterols, and phytates, which have been associated with various health benefits, including the preservation of cardiovascular health and the prevention of cancer, neurodegenerative disorders, and brain dysfunction. These compounds have also been substantiated for their efficacy in cholesterol management. Their potential as a natural source of beneficial plant compounds is presented in detail. The article further explores the positive impact of sesame seeds on reducing the risk of chronic diseases thanks to their rich polyunsaturated fatty acids content. Nevertheless, it is crucial to remember the significance of maintaining a well-rounded diet to achieve the proper balance of n-3 and n-6 polyunsaturated fatty acids, a balance lacking in sesame seed oil. The significance of bioactive polypeptides derived from sesame seeds is also discussed, shedding light on their applications as nutritional supplements, nutraceuticals, and functional ingredients. Recognizing the pivotal role of processing methods on sesame seeds, this review discusses how these methods can influence bioactive compounds. While roasting the seeds enhances the antioxidant properties of the oil extract, certain processing techniques may reduce phenolic compounds.

A comprehensive review on the utilization of biopolymer hydrogels to encapsulate and protect probiotics in foods

Probiotics must survive in foods and passage through the human mouth, stomach, and small intestine to reach the colon in a viable state and exhibit their beneficial health effects. Probiotic viability can be improved by encapsulating them inside hydrogel-based delivery systems. These systems typically comprise a 3D network of cross-linked polymers that retain large amounts of water within their pores. This study discussed the stability of probiotics and morphology of hydrogel beads after encapsulation, encapsulation efficiency, utilization of natural polymers, and encapsulation mechanisms. Examples of the application of these hydrogel-based delivery systems are then given. These studies show that encapsulation of probiotics in hydrogels can improve their viability, provide favorable conditions in the food matrix, and control their release for efficient colonization in the large intestine. Finally, we highlight areas where future research is required, such as the large-scale production of encapsulated probiotics and the in vivo testing of their efficacy using animal and human studies.

Inflammatory myofibroblastic tumor of the upper arm: A case report

RATIONALE

Inflammatory myofibroblastic tumor (IMT) is an uncommon benign myofibroblastic tumor that usually occurs in the lung, mediastinum, abdomen and vulvovaginal region. IMT of the upper arm is exceedingly rare with unknown etiology. Pathology plays a major role in the diagnosis of IMT, and radiological characteristics of the condition are crucial for differential diagnosis.

PATIENT CONCERNS

A 62-year-old woman was admitted to our hospital for a complaint of a mass in her left upper limb with progressive numbness in the extremity. Ultrasound examination of the brachial artery (BA) revealed a hypoechoic mass with well-defined borders and a substantial blood flow, and the mass was also shown to be greatly enhanced on computed tomography (CT) and magnetic resonance imaging (MRI).

DIAGNOSIS

The subsequent histopathological and immunohistochemical studies led to the diagnosis of IMT.

INTERVENTION

The patient was referred for surgery. The soft tissue tumor resection, left median nerve release operation, brachial artery vascular grafting, and arterial anastomosis were performed.

OUTCOME

Favorable outcome was observed. The patient recovered well from the procedure and did not experience any further complications or tumor recurrence.

LESSONS

In this report, we describe a case of IMT of the upper arm with BA involvement. The case expands the differential diagnosis of limb neoplasm and broadens the understanding of its ultrasonic and radiological imaging features. It also serves as a further example of an uncommon region distinct from conventional IMT. Further studies on the etiology and therapeutic strategies are needed.