Inflammatory pseudotumor and myofibroblastic inflammatory tumor. Diagnostic criteria and prognostic differences

Copyright © 2021 AEC. Publicado por Elsevier España, S.L.U. All rights reserved..

INTRODUCTION: Inflammatory pseudotumor (IPT) and inflammatory myofibroblastic tumor (IMT) are two very rare entities that were formerly included in the same category; however, today they are considered two different diseases due to the neoplastic origin of the IMT. Our objective is to share our experience in the management of these two types of tumors that we must take into account in the differential diagnosis of pulmonary masses or nodules.

METHODS: Thirteen patients with a pathological diagnosis of IPT and IMT who underwent surgery between 2008 and 2019 were retrospectively studied. We recorded the pre and postoperative information of each one, as well as the survival analysis.

RESULTS: Of the 13 patients, 8 were men and 5 women. The mean age of presentation was 53,5 years. An atypical segmentectomy was performed in 6 patients; a lobectomy was necessary in 6 and a pneumonectomy in 1 case. In all cases a complete resection was achieved. Diagnosis was possible thanks to histology, immunohistochemical (IHQ) and fluorescent in situ hybridization (FISH) techniques determining the expression of IgG4 and the rearrangement of ALK, respectively. After a median follow up of 49 months, we didńt find any loco-regional or distant recurrence in the patients studied.

CONCLUSION: IPT and IMT are rare tumors with a very good prognostic. The diagnosis of both entities is based mainly on specific anatomopathological techniques. Surgery has, in most cases, both a diagnostic and therapeutic role.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - year:2021

Enthalten in:

Cirugia espanola - (2021) vom: 22. Apr.

Sprache:

Englisch

Weiterer Titel:

Seudotumor inflamatorio y tumor miofibroblástico inflamatorio. Criterios diagnósticos y diferencias pronósticas

Beteiligte Personen:

Carrasco Rodríguez, Rommel [VerfasserIn]
García Fontán, Eva María [VerfasserIn]
Blanco Ramos, Montserrat [VerfasserIn]
Juaneda Magdalena Benavides, Laura [VerfasserIn]
Otero Lozano, Daniel [VerfasserIn]
Moldes Rodriguez, Milagros [VerfasserIn]
Cañizares Carretero, Miguel Angel [VerfasserIn]

Links:

Volltext

Themen:

Cirugía
Inflammatory myofibroblastic tumor
Inflammatory pseudotumor
Journal Article
Seudotumor inflamatorio
Surgery
Tumor miofibroblástico inflamatorio

Anmerkungen:

Date Revised 22.02.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1016/j.ciresp.2021.03.009

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM32450165X