Abstract
Inflammatory myofibroblastic tumor (IMT) of the lung is a rare entity considered to be a benign neoplastic lesion. It often mimics spindle cell sarcoma, fibrous histiocytoma, or fibrosarcoma in histologic appearance. Because of its variable cellular composition, it seldom allows diagnosis preoperatively either through transthoracic fine-needle aspiration or bronchoscopic biopsy. In this report we describe a unique occurrence of a rarely described large inflammatory myofibroblastic tumor of the lung that mimics a posterior mediastinal tumor in a 45-year-old female, detailing clinical presentation, imaging, and management.
This is a preview of subscription content, log in via an institution to check access.
References
Dehner LP (2000) The enigmatic inflammatory pseudotumors: the current state of our understanding, or misunderstanding. J Pathol 192:277–279
Berman M, Georghiou GP, Schonfeld T, Feinmesser M, Horev G,Vidne BA, Saute M (2003) Pulmonary inflammatory myofibroblastic tumor invading the left atrium. Ann Thorac Surg 76:601–603
Cerfolio RJ, Allen MS, Nascimento AG, Deschamps C, Trastek VF, Miller DL, Pairolero PC (1999) Inflammatory pseudotumors of the lung. Ann Thorac Surg 67:933–936
Bahadori M, Liebow AA (1973) Plasma cell granulomas of the lung. Cancer 31:191–208
Kim JH, Cho JH, Parks MS, Chung JH, Lee LG et al (2002) Pulmonary inflammatory pseudotumor—a report of 28 cases. Korean J Intern Med 17:252–258
Agrons GA, Rosado-de-Christenson ML, Kirejcyk WM, Conrad RM, Stocker JT (1998) Pulmonary inflammatory pseudotumor: radiologic features. Radiology 206:511–518
Kaufman RA (1988) Calcified postinflammatory pseudotumor of the lung: CT features. J Comput Assist Tomogr 12:653–655
Copin MC, Gosselin BH, Ribet ME (1996) Plasma cell granuloma of the lung: difficulties in diagnosis and prognosis. Ann Thorac Surg 61:1477–1482
Imperato JP, Folkman J, Sagerman RH, Cassady JR (1986) Treatment of plasma cell granuloma of the lung with radiation therapy. A report of two cases and a review of the literature. Cancer 57:2127–2129
Doski JJ, Priebe CJ, Driessnack M, Smith T, Kane P, Romero J (1991) Corticosteroids in the management of unresected plasma cell granuloma (inflammatory pseudotumor) of the lung. J Pediatr Surg 26:1064–1066
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Fang, FC., Lee, SC., Hsu, HH. et al. Inflammatory Myofibroblastic Tumor of the Lung: Unusual Presentation. Lung 186, 191–193 (2008). https://doi.org/10.1007/s00408-008-9077-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00408-008-9077-7