Skip to main content
Top
Published in: Clinical Journal of Gastroenterology 2/2015

01-04-2015 | Case Report

Gastric inflammatory fibroid polyp morphologically changed by Helicobacter pylori eradication

Authors: Yasuhiro Mitsui, Kaizo Kagemoto, Tatsuzo Itagaki, Shuji Inoue, Keishi Naruse, Naoki Muguruma, Tetsuji Takayama

Published in: Clinical Journal of Gastroenterology | Issue 2/2015

Login to get access

Abstract

A 60-year-old male presented to our hospital for further investigation of abnormal findings on an upper gastrointestinal series. Esophagogastroduodenoscopy demonstrated atrophic gastritis and a submucosal tumor (SMT) at the anterior wall of the antrum. The patient was positive for serum anti-Helicobacter pylori (H. pylori) antibody and H. pylori eradication therapy was performed. Five months later, the SMT showed a remarkable morphological change in that an ulcer had developed on its apex, and partial gastrectomy was performed. Pathological examination suggested an inflammatory fibroid polyp (IFP), and genetic analysis revealed no mutation in the platelet-derived growth factor receptor alpha gene. This case suggests that H. pylori infection plays an important role in the etiology of IFPs.
Literature
1.
go back to reference Stolte M, Sticht T, Eidt S, et al. Frequency, location, and age and sex distribution of various types of gastric polyp. Endoscopy. 1994;26:659–65.CrossRefPubMed Stolte M, Sticht T, Eidt S, et al. Frequency, location, and age and sex distribution of various types of gastric polyp. Endoscopy. 1994;26:659–65.CrossRefPubMed
2.
go back to reference Matsushita M, Uchida K, Nishio A, et al. Endoscopic and EUS features of gastric inflammatory fibroid polyps. Gastrointest Endosc. 2009;69:188.CrossRefPubMed Matsushita M, Uchida K, Nishio A, et al. Endoscopic and EUS features of gastric inflammatory fibroid polyps. Gastrointest Endosc. 2009;69:188.CrossRefPubMed
3.
go back to reference Kobayashi H, Fuchigami T, Sakai T, et al. Diagnosis and treatment of inflammatory fibroid polyp of the gastrointestinal tract. Stomach Intestine. 2004;39:640–6. Kobayashi H, Fuchigami T, Sakai T, et al. Diagnosis and treatment of inflammatory fibroid polyp of the gastrointestinal tract. Stomach Intestine. 2004;39:640–6.
4.
go back to reference Helwig EB, Ranier A. Inflammatory fibroid polyp of the stomach. Surg Gynecol Obstet. 1953;96:335–67.PubMed Helwig EB, Ranier A. Inflammatory fibroid polyp of the stomach. Surg Gynecol Obstet. 1953;96:335–67.PubMed
5.
go back to reference Hasegawa T, Yang P, Kagawa N, et al. CD34 expression by inflammatory fibroid polyps of the stomach. Mod Pathol. 1997;10:451–6.PubMed Hasegawa T, Yang P, Kagawa N, et al. CD34 expression by inflammatory fibroid polyps of the stomach. Mod Pathol. 1997;10:451–6.PubMed
6.
go back to reference Santos GC, Alves VA, Wakamatsu A, et al. Inflammatory fibroid polyp: an immunohistochemical study. Arq Gastroenterol. 2004;41:104–7.CrossRef Santos GC, Alves VA, Wakamatsu A, et al. Inflammatory fibroid polyp: an immunohistochemical study. Arq Gastroenterol. 2004;41:104–7.CrossRef
7.
go back to reference Kim MK, Higgins J, Cho EY, et al. Expression of CD34, bcl-2, and kit in inflammatory fibroid polyps of the gastrointestinal tract. Appl Immunohistochem Mol Morphol. 2000;8:147–53.CrossRefPubMed Kim MK, Higgins J, Cho EY, et al. Expression of CD34, bcl-2, and kit in inflammatory fibroid polyps of the gastrointestinal tract. Appl Immunohistochem Mol Morphol. 2000;8:147–53.CrossRefPubMed
8.
go back to reference Mori M, Tamura S, Enjoji M, et al. Concomitant presence of inflammatory fibroid polyp and carcinoma or adenoma in the stomach. Arch Pathol Lab Med. 1988;112:829–32.PubMed Mori M, Tamura S, Enjoji M, et al. Concomitant presence of inflammatory fibroid polyp and carcinoma or adenoma in the stomach. Arch Pathol Lab Med. 1988;112:829–32.PubMed
9.
go back to reference Yamabe K, Ogino N, Ogawa N, et al. A case of inflammatory fibroid polyp of the stomach—stastic analysis of 138 cases reported in Japan. J Jpn Surg Assoc. 1990;51:1972–5. Yamabe K, Ogino N, Ogawa N, et al. A case of inflammatory fibroid polyp of the stomach—stastic analysis of 138 cases reported in Japan. J Jpn Surg Assoc. 1990;51:1972–5.
10.
go back to reference Nishiyama Y, Koyama S, Andoh A, et al. Gastric inflammatory fibroid polyp treated with Helicobacter pylori eradication therapy. Intern Med. 2003;42:263–7.CrossRefPubMed Nishiyama Y, Koyama S, Andoh A, et al. Gastric inflammatory fibroid polyp treated with Helicobacter pylori eradication therapy. Intern Med. 2003;42:263–7.CrossRefPubMed
11.
go back to reference Kolodziejczyk P, Yao T, Tsuneyoshi M. Inflammatory fibroid polyp of the stomach. A special reference to an immunohistochemical profile of 42 cases. Am J Surg Pathol. 1993;17:1159–68.CrossRefPubMed Kolodziejczyk P, Yao T, Tsuneyoshi M. Inflammatory fibroid polyp of the stomach. A special reference to an immunohistochemical profile of 42 cases. Am J Surg Pathol. 1993;17:1159–68.CrossRefPubMed
12.
go back to reference Shalom A, Wasserman I, Segal M, et al. Inflammatory Fibroid Polyp and Helicobacter Pylori. Aetiology or Coincidence? Eur J Surg. 2000;166:54–7.CrossRefPubMed Shalom A, Wasserman I, Segal M, et al. Inflammatory Fibroid Polyp and Helicobacter Pylori. Aetiology or Coincidence? Eur J Surg. 2000;166:54–7.CrossRefPubMed
13.
go back to reference Schildaue HU, Cavlar T, Bionet E, et al. Inflammatory fibroid polyps harbor mutations in the platelet-derived growth factor receptor alpha (PDGFRA) gene. J Pathol. 2008;216:176–82.CrossRef Schildaue HU, Cavlar T, Bionet E, et al. Inflammatory fibroid polyps harbor mutations in the platelet-derived growth factor receptor alpha (PDGFRA) gene. J Pathol. 2008;216:176–82.CrossRef
14.
go back to reference Johanna A, Radiosa G, Christer B. Role of platelet-derived growth factors in physiology and medicine. Genes Dev. 2008;22:1276–312.CrossRef Johanna A, Radiosa G, Christer B. Role of platelet-derived growth factors in physiology and medicine. Genes Dev. 2008;22:1276–312.CrossRef
15.
go back to reference Hirota S, Ohashi A, Nishida T, et al. Gain-of-Function Mutations of platelet-derived growth factor receptor α gene in gastrointestinal stromal tumors. Gastroenterology. 2003;125:660–7.CrossRefPubMed Hirota S, Ohashi A, Nishida T, et al. Gain-of-Function Mutations of platelet-derived growth factor receptor α gene in gastrointestinal stromal tumors. Gastroenterology. 2003;125:660–7.CrossRefPubMed
16.
go back to reference Schildhaus HU, Cavlar T, Binot E, et al. Inflammatory fibroid polyps harbour mutations in the platelet-derived growth factor receptor alpha (PDGFRA) gene. J Pathol. 2008;216:176–82.CrossRefPubMed Schildhaus HU, Cavlar T, Binot E, et al. Inflammatory fibroid polyps harbour mutations in the platelet-derived growth factor receptor alpha (PDGFRA) gene. J Pathol. 2008;216:176–82.CrossRefPubMed
17.
go back to reference Pablo M, Francisco M, Rodrigo K. Inflammatory fibroid polyp associated with early gastric carcinoma: a case report. Annals of Diagnostic Pathology. 2012;16:148–51.CrossRef Pablo M, Francisco M, Rodrigo K. Inflammatory fibroid polyp associated with early gastric carcinoma: a case report. Annals of Diagnostic Pathology. 2012;16:148–51.CrossRef
18.
go back to reference Ljubicic N, Banic M, Kujundzic M, et al. The effect of eradicating Helicobacter pylori infection on the course of adenomatous and hyperplastic gastric polyps. Eur J Gastroenterol Hepatol. 1999;11:727–30.CrossRefPubMed Ljubicic N, Banic M, Kujundzic M, et al. The effect of eradicating Helicobacter pylori infection on the course of adenomatous and hyperplastic gastric polyps. Eur J Gastroenterol Hepatol. 1999;11:727–30.CrossRefPubMed
19.
go back to reference Ito M, Tanaka S, Takata S, et al. Morphological changes in human gastric tumours after eradication therapy of Helicobacter pylori in a short-term follow-up. Aliment Pharmacol Ther. 2005;21:559–66.CrossRefPubMed Ito M, Tanaka S, Takata S, et al. Morphological changes in human gastric tumours after eradication therapy of Helicobacter pylori in a short-term follow-up. Aliment Pharmacol Ther. 2005;21:559–66.CrossRefPubMed
20.
go back to reference Eguchi H, Herschenhous N, Kuzushita N, et al. Helicobacter pylori increases proteasome-mediated degradation of p27 (Ki-p1) in gasric epithelial cells. Cancer Res. 2003;63:4739–46.PubMed Eguchi H, Herschenhous N, Kuzushita N, et al. Helicobacter pylori increases proteasome-mediated degradation of p27 (Ki-p1) in gasric epithelial cells. Cancer Res. 2003;63:4739–46.PubMed
21.
go back to reference Yasunaga Y, Shinomura Y, Kanayama S, et al. Increased production of interleukin 1 beta and hepatocyte growth factor may contribute to foveolar hyperplasia in enlarged fold gastritis. Gut. 1996;39:787–94.CrossRefPubMedCentralPubMed Yasunaga Y, Shinomura Y, Kanayama S, et al. Increased production of interleukin 1 beta and hepatocyte growth factor may contribute to foveolar hyperplasia in enlarged fold gastritis. Gut. 1996;39:787–94.CrossRefPubMedCentralPubMed
Metadata
Title
Gastric inflammatory fibroid polyp morphologically changed by Helicobacter pylori eradication
Authors
Yasuhiro Mitsui
Kaizo Kagemoto
Tatsuzo Itagaki
Shuji Inoue
Keishi Naruse
Naoki Muguruma
Tetsuji Takayama
Publication date
01-04-2015
Publisher
Springer Japan
Published in
Clinical Journal of Gastroenterology / Issue 2/2015
Print ISSN: 1865-7257
Electronic ISSN: 1865-7265
DOI
https://doi.org/10.1007/s12328-015-0557-z

Other articles of this Issue 2/2015

Clinical Journal of Gastroenterology 2/2015 Go to the issue