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普遍认为炎性成肌纤维细胞瘤(IMT)是一种炎性假瘤,实际上是一种缓慢生长的类似肿瘤的病变,具有明确的组织学改变和良性的临床过程。本篇报道了1例12岁女性患者,其颈部IMT已浸入气管,并导致哮喘样症状。气管和颈部的IMT均已有报道,但这种浸润形式以前未见报道。本篇讨论了IMT的相关文献综述、病因学、诊断、治疗及预后。IMT的鉴别诊断很重要,因很容易被误诊为恶性肿瘤。这种病变的特点决定了外科医生必须等到最终的病理学诊断确定后,才能对患者实施根治术、放疗或者化疗。
It is generally accepted that inflammatory myofibroma (IMT) is an inflammatory pseudotumor that is actually a slowly growing, tumor-like lesion with clear histological changes and a benign clinical course. This article reports a 12-year-old female patient whose IMT in the neck has submerged in the trachea and causes asthma-like symptoms. Trachea and neck IMT have been reported, but this form of infiltration has not been previously reported. This article discusses the literature review of IMT, etiology, diagnosis, treatment and prognosis. The differential diagnosis of IMT is very important, because it is easily misdiagnosed as malignant tumor. The characteristics of this lesion determine that the surgeon must wait until the final pathological diagnosis is confirmed before the patient can be treated with radical mastectomy, radiotherapy, or chemotherapy.