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2014
DOI: 10.1007/s12029-014-9642-7
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Mesenteric Inflammatory Pseudotumor: A Case Report and Comprehensive Literature Review

Abstract: IPTs may be definitively diagnosed only by histopathological examination and are most effectively treated by resection with negative surgical borders. No consensus has yet been reached regarding when nonsurgical treatment options are most appropriate in management of these lesions. IPTs often recur locally, while distant metastases are very rare. Postoperative close surveillance is essential to detect recurrences early.

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Cited by 13 publications
(19 citation statements)
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“…The use of nonsteroidal anti-inflammatory drugs, steroids, chemotherapy, radiotherapy, and tyrosine kinase inhibitors have been reported in the literature. 14,15 Since the surgical excision of the IMT, this patient has done remarkably well. She noted that all of her symptoms resolved shortly after surgery, and at her 3-month follow-up appointment in the oncology clinic, she continued to be asymptomatic, including resolution of her fatigue, sensory symptoms, and weight loss.…”
Section: Figurementioning
confidence: 89%
See 1 more Smart Citation
“…The use of nonsteroidal anti-inflammatory drugs, steroids, chemotherapy, radiotherapy, and tyrosine kinase inhibitors have been reported in the literature. 14,15 Since the surgical excision of the IMT, this patient has done remarkably well. She noted that all of her symptoms resolved shortly after surgery, and at her 3-month follow-up appointment in the oncology clinic, she continued to be asymptomatic, including resolution of her fatigue, sensory symptoms, and weight loss.…”
Section: Figurementioning
confidence: 89%
“…Close follow-up after excision is critical because recurrence rates for extrapulmonary lesions have been reported as high as 25%, 11 and this most commonly occurs in the first year (15%-40%). 14 There are no standardized guidelines regarding recommended monitoring of patients with IMT. There is no consensus on how to treat patients with incomplete resection, metastasis, or recurrence.…”
Section: Figurementioning
confidence: 99%
“…IMTs have been observed predominantly in young patients and have been encountered virtually in any anatomical location such as the lungs [2], mesentery [4], omentum [3], retroperitoneum [5], extremities [6], head [7], liver [10], spleen [11], thyroid [12], and urinary bladder [13]. Notably, reported cases on IMTs/IPTs of the breast are very scarce [1, 9, 14–34].…”
Section: Discussionmentioning
confidence: 99%
“…On MRI, as discussed by Yagmur et al [ 28 ], IMTs exhibit intermediate signal intensity in T1-weighted images and high signal intensity in T2-weighted images. These lesions are characterized by high 18 F-FDG PET uptake, similar to malignant tumors; their greater SUV max⁡ is attributable to the large number of inflammatory cells within IMTs [ 28 , 29 ]. In most instances, a definitive diagnosis is made based on the histopathological and immunohistochemical findings performed on the resected tumor.…”
Section: Discussionmentioning
confidence: 99%
“…Complete surgical resection of abdominal IMTs remains the mainstay of treatment associated with a low rate of recurrence. Final diagnosis should be based on histopathological and immunohistochemical findings [ 28 ]. A careful 1-year follow-up is recommended for early recurrence.…”
Section: Discussionmentioning
confidence: 99%