대한영상의학회지 (Journal of the Korean Society of Radiology)

  • 제81권5호
  • /
  • Pages.1121-1133
  • /
  • 2020
  • /
  • 1738-2637(pISSN)
  • /
  • 2288-2928(eISSN)
대한영상의학회 (The Korean Society of Radiology)
권호 표지
DOI QR코드

DOI QR Code

놓치기 쉽고 진단이 어려운 복부골반강의 염증성 가성 종양: 임상화보

Overlooked and Challenging Encounters-Inflammatory Pseudotumors in the Abdomen and Pelvis: A Pictorial Essay

  • 곽민하 (인제대학교 의과대학 부산백병원 영상의학과) ;
  • 박진영 (인제대학교 의과대학 부산백병원 영상의학과) ;
  • 정해웅 (인제대학교 의과대학 부산백병원 영상의학과) ;
  • 한지연 (인제대학교 의과대학 부산백병원 영상의학과) ;
  • 임종헌 (인제대학교 의과대학 부산백병원 영상의학과) ;
  • 김영선 (영남대학교 의과대학 영남대학교병원 영상의학과) ;
  • 박정원 (김해복음병원 영상의학과)
  • Min Ha Kwag (Department of Radiology, Busan Paik Hospital, College of Medicine, Inje University) ;
  • Jin Young Park (Department of Radiology, Busan Paik Hospital, College of Medicine, Inje University) ;
  • Hae Woong Jeong (Department of Radiology, Busan Paik Hospital, College of Medicine, Inje University) ;
  • Ji Yeon Han (Department of Radiology, Busan Paik Hospital, College of Medicine, Inje University) ;
  • Jong Heon Lim (Department of Radiology, Busan Paik Hospital, College of Medicine, Inje University) ;
  • Young Seon Kim (Department of Radiology, Yeungnam University Hospital, College of Medicine, Yeungnam University) ;
  • Jung Won Park (Department of Radiology, Gimhaebokum Hospital)
  • 투고 : 2019.12.20
  • 심사 : 2020.02.12
  • 발행 : 2020.09.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

염증성 가성 종양은 주로 폐와 안와에서 드물게 발생하는 종괴 형성 병변이다. 복부 및 골반에서의 염증성 가성 종양의 발생은 매우 드물지만, 이는 조영증강되는 연부조직 병변으로 나타날 수 있으며 악성 종양 혹은 섬유경화질환과 혼동될 수 있다. 대개 이는 여러 장기에서 다양한 불특정 영상 소견을 보인다. 적절한 임상 정보와 함께 술전 염증성 가성 종양의 진단이 이루어지는 것은 알맞은 환자 처치를 도울 수 있다. 현 임상화보에서는 간, 비장, 신장, 위장관, 장간막, 골반, 후복강에서 발생한 복부골반강의 염증성 가성 종양의 영상의학적 소견을 정리한다.

Inflammatory pseudotumors (IPTs) are uncommon, mass-forming lesions, predominantly involving the lung and orbit. Although the incidence of IPTs is rare in the abdomen and pelvis, they can be encountered as enhancing, soft-tissue lesions, mimicking malignancy or fibrosclerosing disease. Generally, they exhibit a wide range of nonspecific imaging features in various organs. Preoperative imaging diagnosis of IPTs in appropriate clinical settings may help determine proper patient management. In this article, we review radiologic findings of IPTs in the abdominopelvic cavity, including the liver, spleen, kidney, gastrointestinal tract, mesentery, pelvis, and retroperitoneum.

키워드

참고문헌

  1. Patnana M, Sevrukov AB, Elsayes KM, Viswanathan C, Lubner M, Menias CO. Inflammatory pseudotumor: the great mimicker. AJR Am J Roentgenol 2012;198:W217-W227
  2. Sedlic T, Scali EP, Lee WK, Verma S, Chang SD. Inflammatory pseudotumours in the abdomen and pelvis: a pictorial essay. Can Assoc Radiol J 2014;65:52-59
  3. Narla LD, Newman B, Spottswood SS, Narla S, Kolli R. Inflammatory pseudotumor. Radiographics 2003;23:719-729
  4. Park SB, Cho KS, Kim JK, Lee JH, Jeong AK, Kwon WJ, et al. Inflammatory pseudotumor (myoblastic tumor) of the genitourinary tract. AJR Am J Roentgenol 2008;191:1255-1262
  5. Sanders BM, West KW, Gingalewski C, Engum S, Davis M, Grosfeld JL. Inflammatory pseudotumor of the alimentary tract: clinical and surgical experience. J Pediatr Surg 2001;36:169-173
  6. Maves CK, Johnson JF, Bove K, Malott RL. Gastric inflammatory pseudotumor in children. Radiology 1989;173:381-383
  7. Dehner LP. The enigmatic inflammatory pseudotumours: the current state of our understanding, or misunderstanding. J Pathol 2000;192:277-279
  8. Isobe H, Nishi Y, Fukutomi T, Iwamoto H, Nakamuta M, Sakai H, et al. Inflammatory pseudotumor of the liver associated with acute myelomonocytic leukemia. Am J Gastroenterol 1991;86:238-240
  9. Shek TW, Ng IO, Chan KW. Inflammatory pseudotumor of the liver. Report of four cases and review of the literature. Am J Surg Pathol 1993;17:231-238
  10. Kamisawa T, Takuma K, Egawa N, Tsuruta K, Sasaki T. Autoimmune pancreatitis and IgG4-related sclerosing disease. Nat Rev Gastroenterol Hepatol 2010;7:401-409
  11. Coffin CM, Humphrey PA, Dehner LP. Extrapulmonary inflammatory myofibroblastic tumor: a clinical and pathological survey. Semin Diagn Pathol 1998;15:85-101
  12. Slavotinek JP, Bourne AJ, Sage MR, Freeman JK. Inflammatory pseudotumour of the pancreas in a child. Pediatr Radiol 2000;30:801-803
  13. Voss SD, Kruskal JB, Kane RA. Chronic inflammatory pseudotumor arising in the hepatobiliary-pancreatic system: progressive multisystemic organ involvement in four patients. AJR Am J Roentgenol 1999;173:1049-1054
  14. Hedlund GL, Navoy JF, Galliani CA, Johnson WH Jr. Aggressive manifestations of inflammatory pulmonary pseudotumor in children. Pediatr Radiol 1999;29:112-116
  15. Safran D, Welch J, Rezuke W. Inflammatory pseudotumors of the spleen. Arch Surg 1991;126:904-908
  16. Scott L, Blair G, Taylor G, Dimmick J, Fraser G. Inflammatory pseudotumors in children. J Pediatr Surg 1988;23:755-758
  17. Hussong JW, Brown M, Perkins SL, Dehner LP, Coffin CM. Comparison of DNA ploidy, histologic, and immunohistochemical findings with clinical outcome in inflammatory myofibroblastic tumors. Mod Pathol 1999;12:279-286
  18. Coffin CM, Hornick JL, Fletcher CD. Inflammatory myofibroblastic tumor: comparison of clinicopathologic, histologic, and immunohistochemical features including ALK expression in atypical and aggressive cases. Am J Surg Pathol 2007;31:509-520
  19. Marino-Enriquez A, Wang WL, Roy A, Lopez-Terrada D, Lazar AJ, Fletcher CD, et al. Epithelioid inflammatory myofibroblastic sarcoma: an aggressive intra-abdominal variant of inflammatory myofibroblastic tumor with nuclear membrane or perinuclear ALK. Am J Surg Pathol 2011;35:135-144
  20. Zen Y, Fujii T, Sato Y, Masuda S, Nakanuma Y. Pathological classification of hepatic inflammatory pseudotumor with respect to IgG4-related disease. Mod Pathol 2007;20:884-894
  21. Yamaguchi J, Sakamoto Y, Sano T, Shimada K, Kosuge T. Spontaneous regression of inflammatory pseudotumor of the liver: report of three cases. Surg Today 2007;37:525-529
  22. Dao AH, Hodges KB. Inflammatory pseudotumor of the pelvis: case report with review of recent developments. Am Surg 1998;64:1188-1191
  23. George V, Tammisetti VS, Surabhi VR, Shanbhogue AK. Chronic fibrosing conditions in abdominal imaging. Radiographics 2013;33:1053-1080
  24. Lim JH, Lee JH. Inflammatory pseudotumor of the liver. Ultrasound and CT features. Clin Imaging 1995;19:43-46
  25. Kelekis NL, Warshauer DM, Semelka RC, Eisenberg LB, Woosley JT. Inflammatory pseudotumor of the liver: appearance on contrast enhanced helical CT and dynamic MR images. J Magn Reson Imaging 1995;5:551-553
  26. Flisak ME, Budris DM, Olson MC, Zarling EJ. Inflammatory pseudotumor of the liver: appearance on MRI. Clin Imaging 1994;18:1-3
  27. Materne R, Van Beers BE, Gigot JF, Horsmans Y, Lacrosse M, Pringot J. Inflammatory pseudotumor of the liver: MRI with mangafodipir trisodium. J Comput Assist Tomogr 1998;22:82-84
  28. Kim SJ, Kim WS, Cheon JE, Shin SM, Youn BJ, Kim IO, et al. Inflammatory myofibroblastic tumors of the abdomen as mimickers of malignancy: imaging features in nine children. AJR Am J Roentgenol 2009;193:1419-1424
  29. Levy S, Sauvanet A, Diebold MD, Marcus C, Da Costa N, Thiefin G. Spontaneous regression of an inflammatory pseudotumor of the liver presenting as an obstructing malignant biliary tumor. Gastrointest Endosc 2001;53:371-374
  30. Tang L, Lai EC, Cong WM, Li AJ, Fu SY, Pan ZY, et al. Inflammatory myofibroblastic tumor of the liver: a cohort study. World J Surg 2010;34:309-313
  31. Cheuk W, Chan JK, Shek TW, Chang JH, Tsou MH, Yuen NW, et al. Inflammatory pseudotumor-like follicular dendritic cell tumor: a distinctive low-grade malignant intra-abdominal neoplasm with consistent EpsteinBarr virus association. Am J Surg Pathol 2001;25:721-731
  32. Cotelingam JD, Jaffe ES. Inflammatory pseudotumor of the spleen. Am J Surg Pathol 1984;8:375-380
  33. Horiuchi R, Uchida T, Kojima T, Shikata T. Inflammatory pseudotumor of the liver. Clinicopathologic study and review of the literature. Cancer 1990;65:1583-1590
  34. Kim KA, Kim KW, Park SH, Jang SJ, Park MS, Kim PN, et al. Unusual mesenchymal liver tumors in adults: radiologic-pathologic correlation. AJR Am J Roentgenol 2006;187:W481-W489
  35. Milias K, Madhavan KK, Bellamy C, Garden OJ, Parks RW. Inflammatory pseudotumors of the liver: experience of a specialist surgical unit. J Gastroenterol Hepatol 2009;24:1562-1566
  36. Celik H, Ozdemir H, Yucel C, Gultekin S, Oktar SO, Arac M. Characterization of hyperechoic focal liver lesions: quantitative evaluation with pulse inversion harmonic imaging in the late phase of levovist. J Ultrasound Med 2005;24:39-47
  37. Nam KJ, Kang HK, Lim JH. Inflammatory pseudotumor of the liver: CT and sonographic findings. AJR Am J Roentgenol 1996;167:485-487
  38. Yan FH, Zhou KR, Jiang YP, Shi WB. Inflammatory pseudotumor of the liver: 13 cases of MRI findings. World J Gastroenterol 2001;7:422-424
  39. Noguchi H, Kondo H, Kondo M, Shiraiwa M, Monobe Y. Inflammatory pseudotumor of the spleen: a case report. Jpn J Clin Oncol 2000;30:196-203
  40. Rosenbaum L, Fekrazad MH, Rabinowitz I, Vasef MA. Epstein-Barr virus-associated inflammatory pseudotumor of the spleen: report of two cases and review of the literature. J Hematop 2009;2:127-131
  41. Franquet T, Montes M, Aizcorbe M, Barberena J, Ruiz De Azua Y, Cobo F. Inflammatory pseudotumor of the spleen: ultrasound and computed tomographic findings. Gastrointest Radiol 1989;14:181-183
  42. Irie H, Honda H, Kaneko K, Kuroiwa T, Fukuya T, Yoshimitsu K, et al. Inflammatory pseudotumors of the spleen: CT and MRI findings. J Comput Assist Tomogr 1996;20:244-248
  43. Fujiwara T, Sugimura K, Imaoka I, Igawa M. Inflammatory pseudotumor of the bladder: MR findings. J Comput Assist Tomogr 1999;23:558-561
  44. Day DL, Sane S, Dehner LP. Inflammatory pseudotumor of the mesentery and small intestine. Pediatr Radiol 1986;16:210-215
  45. Levy AD, Rimola J, Mehrotra AK, Sobin LH. From the archives of the AFIP: benign fibrous tumors and tumorlike lesions of the mesentery: radiologic-pathologic correlation. Radiographics 2006;26:245-264
  46. Uysal S, Tuncbilek I, Unlubay D, Tira,s U, Bilalog˘lu P, Ko,sar U. Inflammatory pseudotumor of the sigmoid colon mesentery: US and CT findings (2004:12b). Eur Radiol 2005;15:633-635
  47. Vaughan KG, Aziz A, Meza MP, Hackam DJ. Mesenteric inflammatory pseudotumor as a cause of abdominal pain in a teenager: presentation and literature review. Pediatr Surg Int 2005;21:497-499
  48. Jimenez JM, Poustchi-Amin M, Leonidas JC, Pena A. Extraperitoneal abdominopelvic inflammatory pseudotumor: report of four cases. Pediatr Radiol 1997;27:170-174