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- W2978729056 abstract "Purpose: Inflammatory fibroid polyps (IFPs) are rare, benign, submucosal, sessile or pedunculated polyps which can occur anywhere along the gastrointestinal (GI) tract. Roughly 80% are found in the gastric antrum. Incidence is low, accounting for less than 3% of all GI polyps. IFPs can be asymptomatic or present with bleeding, abdominal pain and/or dyspeptic symptoms. Immunohistochemical staining is diagnostic. Treatment typically requires surgical resection to alleviate symptoms, and/or to stop bleeding. We report the case of a 61-year-old male who presented with occult bleeding and anemia, and was found on endoscopy to have a 5-6-cm submucosal gastric mass prolapsing into the duodenum. Immunohistochemical staining was consistent with the diagnosis of IFP. The patient was subsequently taken to the operating room for surgical resection. Following excision, the anemia resolved and he maintained a stable blood count at discharge. While uncommon, IFPs are benign lesions that should be considered in the differential diagnosis of patients with occult bleeding and anemia. Resection with clean margins leads to resolution of symptoms and typically does not show reoccurrence.Figure: IFP prolapsing through the pylorus.Figure: Polyp in the duodenum.Figure: H&E stain shows spindle shaped cells and a background of inflammatory cells with increased eosinophils." @default.
- W2978729056 created "2019-10-10" @default.
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- W2978729056 date "2013-10-01" @default.
- W2978729056 modified "2023-10-18" @default.
- W2978729056 title "Gastric Inflammatory Fibroid Polyp Presenting with Occult Bleeding and Anemia" @default.
- W2978729056 doi "https://doi.org/10.14309/00000434-201310001-01477" @default.
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