Colonic inflammatory myofibroblastic tumours: an institutional review

Abstract

Surgical resection is effective for this rare tumour which mostly behaves in a benign manner. Our review supports the need for patients to be followed up for long periods because of the possibility of metastasis or late recurrence.

Atypical Presentation of Intestinal Intussusception Caused by Insidious Inflammatory Myofibroblastic Tumor of the Bowel Wall

“…16 However, intestinal intussusception caused by inflammatory myofibroblastic tumor (IMT) was rare. [3][4][5][6][7][8][9][10][11][12][13][14][15] Intestinal IMT (I-IMT) can be served as a lead point of intussusceptum, cause bowel disorders, and result in intestinal intussusception.…”

“…IMT was first described in the lung, and multiple extrapulmonary manifestations have been reported. [2][3][4][5][6][7][8][9][10][11][12][13][14][15] Coffin et al showed that the most common sites of extrapulmonary IMT were the mesentery and omentum in 36 of 84 cases (43%); only 1 case(1.2%) exhibited an IMT of ileal origin. 2 In the presented case, a tumor arose from the bowel wall of the ileum and appeared to be rare.…”

“…[3][4][5][6][7][8][9][10][11][12][13][14][15] IMT located in the abdominal cavity often can become quite large in size and can be detected as an abdominal mass upon palpation or radiologic imaging, though often nonspecific. [3][4][5][6][7][8][9][10][11][12][13][14][15] Unfortunately, before surgery, all means of routine examinations we performed, including abdominal plain film, enhanced computed tomography (CT), ultrasonography, and other laboratory analysis, failed to detect this insidious tumor of the abdomen. Ntloko et al reported 5 patients with I-IMT, ranging in size from 1.5 cm to 20 cm in their largest diameters, and 1 patient was an incidental finding during laparotomy for a traumatic insult (tumor size 1.5 cm 3 1 cm 3 0.5cm).…”

“…These differed from previously described patients with the same diagnosis. [3][4][5][6][7][8][9][10][11][12][13][14][15] The case we present showed some of the typical histomorphology of IMT, namely myofibroblastic proliferation and a varying degree of inflammatory cells infiltrate, predominantly of lymphocyte type. [1][2][3] Tumor cells were limited to the submucosa of the bowel wall and did not invade into the mucosa, muscularis propria, or serosa.…”

“…However, the tumor in the gastrointestinal tract accompanied by intussusception appears to be rare. [3][4][5][6][7][8][9][10][11][12][13][14][15] We documented this rare case of a 12-year-old girl presenting with abdominal pain. The clinical and radiologic impression was bowel intussusception and bowel obstruction.…”