Inflammatory fibroid polyp in the duodenum of a common marmoset (Callithrix jacchus)

Toxicol Pathol. 2013 Jan;41(1):80-5. doi: 10.1177/0192623312452491. Epub 2012 Jul 10.

Abstract

A 32-month-old male common marmoset had a firm and white-colored mass in the duodenal wall. The cut surface was smooth and grayish white in color. Histologically, the mass consisted of a proliferation of spindle cells with an oval to spindle-shaped nucleus and scant eosinophilic cytoplasm in a loose myxoid or fibrotic background. Most of the lesion displayed no specific growth pattern whereas some of the cells concentrated around the vessels and created an onion-bulb structure. Additionally, marked inflammatory cellular infiltration, mainly eosinophils, was observed throughout the lesion. Immunohistochemically, the spindle cells were positive for vimentin, α-smooth muscle actin, fascin, and cyclin D1, and negative for S-100, factor VIII-related antigen, and c-kit. These histological and immunohistochemical features did not meet any differential diagnoses such as gastrointestinal stromal tumor, inflammatory myofibroblastic tumor, solitary fibrous tumor/hemangiopericytoma, smooth muscle tumor, schwannoma, and hemangiosarcoma. Collectively, the authors diagnosed the mass as a lesion that corresponded to an inflammatory fibroid polyp (IFP) in humans. IFP is defined as a mesenchymal proliferation composed of spindle stromal cells, small blood vessels, and inflammatory cells, particularly eosinophils, and is currently classified as a nonneoplastic lesion. To the best of our knowledge, this is the first case of spontaneous IFP in nonhuman primates.

Publication types

  • Case Reports

MeSH terms

  • Actins / metabolism
  • Animals
  • Callithrix*
  • Carrier Proteins / metabolism
  • Cell Proliferation
  • Cyclin D1 / metabolism
  • Duodenal Diseases / diagnosis
  • Duodenal Diseases / metabolism
  • Duodenal Diseases / pathology
  • Duodenal Diseases / veterinary*
  • Duodenum / cytology
  • Duodenum / metabolism
  • Duodenum / pathology
  • Immunohistochemistry
  • Intestinal Polyps / diagnosis
  • Intestinal Polyps / metabolism
  • Intestinal Polyps / pathology
  • Intestinal Polyps / veterinary*
  • Male
  • Microfilament Proteins / metabolism
  • Monkey Diseases / diagnosis*
  • Monkey Diseases / metabolism
  • Monkey Diseases / pathology
  • Vimentin / metabolism

Substances

  • Actins
  • Carrier Proteins
  • Microfilament Proteins
  • Vimentin
  • Cyclin D1
  • fascin