J Korean Med Sci.  2002 Oct;17(5):699-703. 10.3346/jkms.2002.17.5.699.

Fever of Unknown Origin as a Presentation of Gastric Inflammatory Myofibroblastic Tumor in a Two-Year-Old Boy

Affiliations
  • 1Department of Surgery, College of Medicine Korea University, Seoul, Korea. minyoung@korea.ac.kr
  • 2Department of Pathology, College of Medicine Korea University, Seoul, Korea.
  • 3Department of Pediatrics, College of Medicine Korea University, Seoul, Korea.

Abstract

Gastric inflammatory myofibroblastic tumor (IMT) is an extremely rare lesion with mimicking malignant features and accompanied with various clinical manifestations. Here we present a 2-yr-old boy who had a gastric IMT with a huge extragastric mass, which closely resembled a neuroblastoma on imaging studies. He experienced intermittent fever and poor appetite for 6 weeks. Fever remained up to 38degrees C even on the operation day. He underwent partial gastrectomy and distal pancreatectomy with splenectomy including the tumor. The preoperative fever disappeared and did not recur in the postoperative course.

Keyword

Fever of Unknown Origin; Inflammation; Stomach Neoplasms

MeSH Terms

Child, Preschool
Fever of Unknown Origin/*etiology
Granuloma, Plasma Cell/*complications/*diagnosis/surgery
Humans
Male
Stomach Diseases/*complications/*diagnosis/surgery
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