Inflammatory myofibroblastic tumor involving multiple abdominal systems: a case report_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

LI Liping ^1,2 ,  LU Chunyan ¹

1. Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;
2. Department of Medical Imaging, The People’s Hospital of Yuxi City, Yuxi, Yunnan 653100, P. R. China;

Corresponding?author：

LU Chunyan, Email: luchunyan@wchscu.cn

Keywords：

inflammatory myofibroblastic tumor; imaging signs; abdomen; pathological basis

DOI：

10.7507/1007-9424.202308057

Video：

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Abstract Full text Figures/Tables Video References Cited by

Inflammatory myofibroblastic tumor (IMT) involving stomach, liver, biliary tract, and peritoneal mesentery was very rare, nonspecific clinical manifestations and laboratory examination were the main reasons for the difficult preoperative diagnosis of IMT. An IMT case involving multiple systems and multiple sites of the abdomen was presented, the CT and MRI imaging signs and pathological basis of IMT were illustrated, so as to strengthen the understanding of IMT for clinicians and radiologists.

Citation： LI Liping, LU Chunyan. Inflammatory myofibroblastic tumor involving multiple abdominal systems: a case report. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2023, 30(10): 1195-1199. doi: 10.7507/1007-9424.202308057 Copy

1.	Bosman FT, Carneiro F, Hruban RH, et al. WHO classification of tumours of the digestive system. Lyon: IARC Press, 2010: 45-79.
2.	郭曉寧, 羅小懷, 劉維帥, 等. 炎性肌纖維母細胞瘤的臨床病理特征與鑒別診斷. 臨床醫學研究與實踐, 2023, 8(10): 16-19.
3.	WHO Classification of Tumours Editorial Board. WHO classification of tumours. Soft tissue and bone tumours. 5th ed. Lyon: IARC Press, 2020: 109-111.
4.	Siemion K, Reszec-Gielazyn J, Kisluk J, et al. What do we know about inflammatory myofibroblastic tumors? —A systematic review. Adv Med Sci, 2022, 67(1): 129-138.
5.	Tan Tanny SP, Wang LL, Liddell HA, et al. Inflammatory myofibroblastic tumor of the urinary bladder: a case report. Urol Case Rep, 2016, 6: 58-59.
6.	Surabhi VR, Chua S, Patel RP, et al. Inflammatory myofibroblastic tumors: current update. Radiol Clin North Am, 2016, 54(3): 553-563.
7.	許奇俊, 邢振, 游瑞雄, 等. 腹盆腔內炎性肌纖維母細胞瘤CT/MRI表現(附8例報告并文獻復習). 臨床放射學雜志, 2016, 35(4): 565-569.
8.	Fosi S, Altobelli S, Bindi A, et al. Gradual colonic impaction of a chicken bone associated with inflammatory pseudotumor formation and nonocclusive colon ischemia. Case Rep Radiol, 2014, 2014: 215465.
9.	程冰雪, 楊晨, 梅寶玉, 等. 胃間質瘤手術切除后新發胃炎性肌纖維母細胞瘤1例. 實用放射學雜志, 2020, 36(1): 159-161.
10.	Coffin CM, Hornick JL, Fletcher CD. Inflammatory myofibroblastic tumor: comparison of clinicopathologic, histologic, and immunohistochemical features including ALK expression in atypical and aggressive cases. Am J Surg Pathol, 2007, 31(4): 509-520.
11.	錢民, 柏瑞, 李小榮, 等. 腹部炎性肌纖維母細胞瘤CT表現. 放射學實踐, 2012, 27(11): 1238-1241.
12.	劉毅強, 徐丹, 黃小征, 等. 胃炎性肌纖維母細胞腫瘤的臨床病理觀察. 臨床與實驗病理學雜志, 2015, 31(2): 164-168.
13.	Aptel S, Gervaise A, Fairise A, et al. Abdominal inflammatory myofibroblastic tumour. Diagn Interv Imaging, 2012, 93(5): 410-412.
14.	李蒙, 吳寧, 林冬梅, 等. 炎性肌纖維母細胞瘤的多層螺旋CT表現. 中國醫學影像技術, 2008, 24(12): 1995-1998.
15.	熊偉, 張雪林, 張靜, 等. 腹部炎性肌纖維母細胞瘤的影像表現. 臨床放射學雜志, 2011, 30(2): 227-230.
16.	趙煉, 盧春燕. 1例胰腺炎性肌纖維母細胞瘤伴肝臟轉移的CT影像學表現及病理基礎. 中國普外基礎與臨床雜志, 2023, 30(7): 773-776.
17.	朱亞平, 石麒麟, 胡赟, 等. 腹腔鈣化性纖維性腫瘤的臨床病理分析. 浙江實用醫學, 2017, 22(2): 115-117.
18.	Yan Z, Wang Y, Zhang Z. Inflammatory myofibroblastic tumor: an entity of CT and MR imaging to differentiate from malignant tumors of the sinonasal cavity. J Comput Assist Tomogr, 2014, 38(1): 14-19.
19.	Casanova M, Brennan B, Alaggio R, et al. Inflammatory myofibroblastic tumor: the experience of the European pediatric Soft Tissue Sarcoma Study Group (EpSSG). Eur J Cancer, 2020, 127: 123-129.

1. Bosman FT, Carneiro F, Hruban RH, et al. WHO classification of tumours of the digestive system. Lyon: IARC Press, 2010: 45-79.
2. 郭曉寧, 羅小懷, 劉維帥, 等. 炎性肌纖維母細胞瘤的臨床病理特征與鑒別診斷. 臨床醫學研究與實踐, 2023, 8(10): 16-19.
3. WHO Classification of Tumours Editorial Board. WHO classification of tumours. Soft tissue and bone tumours. 5th ed. Lyon: IARC Press, 2020: 109-111.
4. Siemion K, Reszec-Gielazyn J, Kisluk J, et al. What do we know about inflammatory myofibroblastic tumors? —A systematic review. Adv Med Sci, 2022, 67(1): 129-138.
5. Tan Tanny SP, Wang LL, Liddell HA, et al. Inflammatory myofibroblastic tumor of the urinary bladder: a case report. Urol Case Rep, 2016, 6: 58-59.
6. Surabhi VR, Chua S, Patel RP, et al. Inflammatory myofibroblastic tumors: current update. Radiol Clin North Am, 2016, 54(3): 553-563.
7. 許奇俊, 邢振, 游瑞雄, 等. 腹盆腔內炎性肌纖維母細胞瘤CT/MRI表現(附8例報告并文獻復習). 臨床放射學雜志, 2016, 35(4): 565-569.
8. Fosi S, Altobelli S, Bindi A, et al. Gradual colonic impaction of a chicken bone associated with inflammatory pseudotumor formation and nonocclusive colon ischemia. Case Rep Radiol, 2014, 2014: 215465.
9. 程冰雪, 楊晨, 梅寶玉, 等. 胃間質瘤手術切除后新發胃炎性肌纖維母細胞瘤1例. 實用放射學雜志, 2020, 36(1): 159-161.
10. Coffin CM, Hornick JL, Fletcher CD. Inflammatory myofibroblastic tumor: comparison of clinicopathologic, histologic, and immunohistochemical features including ALK expression in atypical and aggressive cases. Am J Surg Pathol, 2007, 31(4): 509-520.
11. 錢民, 柏瑞, 李小榮, 等. 腹部炎性肌纖維母細胞瘤CT表現. 放射學實踐, 2012, 27(11): 1238-1241.
12. 劉毅強, 徐丹, 黃小征, 等. 胃炎性肌纖維母細胞腫瘤的臨床病理觀察. 臨床與實驗病理學雜志, 2015, 31(2): 164-168.
13. Aptel S, Gervaise A, Fairise A, et al. Abdominal inflammatory myofibroblastic tumour. Diagn Interv Imaging, 2012, 93(5): 410-412.
14. 李蒙, 吳寧, 林冬梅, 等. 炎性肌纖維母細胞瘤的多層螺旋CT表現. 中國醫學影像技術, 2008, 24(12): 1995-1998.
15. 熊偉, 張雪林, 張靜, 等. 腹部炎性肌纖維母細胞瘤的影像表現. 臨床放射學雜志, 2011, 30(2): 227-230.
16. 趙煉, 盧春燕. 1例胰腺炎性肌纖維母細胞瘤伴肝臟轉移的CT影像學表現及病理基礎. 中國普外基礎與臨床雜志, 2023, 30(7): 773-776.
17. 朱亞平, 石麒麟, 胡赟, 等. 腹腔鈣化性纖維性腫瘤的臨床病理分析. 浙江實用醫學, 2017, 22(2): 115-117.
18. Yan Z, Wang Y, Zhang Z. Inflammatory myofibroblastic tumor: an entity of CT and MR imaging to differentiate from malignant tumors of the sinonasal cavity. J Comput Assist Tomogr, 2014, 38(1): 14-19.
19. Casanova M, Brennan B, Alaggio R, et al. Inflammatory myofibroblastic tumor: the experience of the European pediatric Soft Tissue Sarcoma Study Group (EpSSG). Eur J Cancer, 2020, 127: 123-129.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Inflammatory myofibroblastic tumor involving multiple abdominal systems: a case report

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