Inflammatory myofibroblastic tumor arising in the mediastinum mimicking a cystic lesion—case report—

  • SHIROTA Tomoki
    Department of Thoracic Surgery, Shinshu University School of Medicine
  • EGUCHI Takashi
    Department of Thoracic Surgery, Shinshu University School of Medicine
  • KURAI Makoto
    Department of Thoracic Surgery, Shinshu University School of Medicine
  • HAMANAKA Kazutoshi
    Department of Thoracic Surgery, Shinshu University School of Medicine
  • YOSHIDA Kazuo
    Department of Thoracic Surgery, Shinshu University School of Medicine
  • AMANO Jun
    Department of Surgery, Shinshu University School of Medicine
  • IWAYA Mai
    Department of Pathology, Shinshu University School of Medicine
  • SANO Kenji
    Department of Pathology, Shinshu University School of Medicine

Bibliographic Information

Other Title
  • 嚢胞性病変との鑑別を要した縦隔原発炎症性筋線維芽細胞腫瘍の1例
  • 症例 嚢胞性病変との鑑別を要した縦隔原発炎症性筋線維芽細胞腫瘍の1例
  • ショウレイ ノウホウセイ ビョウヘン ト ノ カンベツ オ ヨウシタ ジュウカク ゲンパツ エンショウセイキン センイガ サイボウ シュヨウ ノ 1レイ
  • Inflammatory myofibroblastic tumor arising in the mediastinum mimicking a cystic lesion^|^mdash;case report^|^mdash;

Search this article

Description

Inflammatory myofibroblastic tumor (IMT) is a rare neoplasm that usually occurs in the lungs or abdominal organs. We report a case of IMT arising in the mediastinum which mimicked a cystic lesion. A 65-year-old woman was found to have an abnormal shadow in the mediastinum on chest computed tomography (CT). Contrast enhanced chest CT showed an oval shaped tumor, 5 cm in diameter, in the mediastinum. Magnetic resonance imaging showed that the tumor was low intensity on T1WI and high intensity on T2WI. The tumor was considered to be a cystic lesion, such as a bronchogenic cyst, esophageal cyst, or a neurogenic tumor with cystic change. A video-assisted tumorectomy was performed. On pathology, spindle-shaped cells which had proliferated in abundant myxoid matrix along with infiltration of inflammatory cells were noted ; a diagnosis of inflammatory myofibroblastic tumor with increased myxoid matrix was made. Although IMT is a rare disease, it should be considered in the differential diagnosis of a mediastinal tumor.

Journal

References(20)*help

See more

Details 詳細情報について

Report a problem

Back to top