Inflammatory myofibroblastic tumor of the esophagus presenting with hematemesis and melaena: a case report and review of literature

Jayarajah, Umesh; Bulathsinghala, Rasika P.; Handagala, Dassanayake M Sumana; Samarasekera, Dharmabandhu Nandadeva

doi:10.1002/ccr3.1296

Cited by 7 publications

(8 citation statements)

References 9 publications

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“…10 Meanwhile, hematemesis and melaena were also reported in the cases of esophageal IMT. [11][12] However, not all patients will appear the above symptoms and the patients in this study only showed the progressive dysphagia. At the same time, the difference also lies in imaging ndings.…”

Section: Discussionmentioning

confidence: 73%

“…[13][14] Endoscopy and radiological examinations are suit for esophageal IMT, but only 77% of the cases were found to be related to histopathology. 12,15,16 Variable spindle cell proliferation in a myxoid-to-collagenous stroma, in ammatory in ltrate composed primarily of plasma cells and lymphocytes, variable expression and lack of speci city of myo broblastic markers can be the evidence of diagnosis of IMT histopathologically. 4,7 Radical resection is recommended for IMT.…”

Section: Discussionmentioning

confidence: 99%

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A Rare Cause of Chronic Dysphagia: Pulmonary Inflammatory Myofibroblastic Tumor with Distal Esophagus Invasion

Chen

2021

Preprint

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BackgroundInflammatory myofibroblastic tumor (IMT) is rare intermediate tumor, which happens mostly in children and young adults.Case presentationReported is the successful treatment of a 29-year-old man presented with progressively dysphagia and weight loss. No other abnormal symptoms were observed. The contrast enhanced computed tomography (CT) revealed a dumbbell-shaped lesion between lung and esophagus. Finally, it was pathologically diagnosed as pulmonary IMT invading to the distal esophagus after operation. The patient underwent en bloc esophagectomy and left lower lobectomy, and was discharged on 10th postoperative day.ConclusionIMT is a rare lesion that usually occurs in the lung, but pulmonary IMT with distal esophagus invasion has not been described previously. Discriminating untypical symptom, completed resection, pathological expertise and closed follow-up will reach the successful diagnosis and treatment.

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Section: Discussionmentioning

confidence: 73%

Section: Discussionmentioning

confidence: 99%

A Rare Cause of Chronic Dysphagia: Pulmonary Inflammatory Myofibroblastic Tumor with Distal Esophagus Invasion

Chen

2021

Preprint

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“… 3 They are a rare group of tumours originally described in the lung but later identified in multiple extrapulmonary anatomical sites. 4 In the urogenital system, the commonest site is the bladder, but isolated cases of IMT of kidney, renal pelvis and ureters have been reported. 5 The pathogenesis of IMTs is still obscure, but inflammatory reaction secondary to surgery, trauma, infection and even malignancy can be the cause.…”

Section: Discussionmentioning

confidence: 99%

Renal inflammatory myofibroblastic tumour presenting with a large retroperitoneal abscess

Bandara¹,

Jayarajah²,

Rodrigo³

2022

SAGE Open Medical Case Reports

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Inflammatory myofibroblastic tumour arising from the kidney is a rare occurrence. In this case report, we present a rare case of inflammatory myofibroblastic tumour arising from the kidney diagnosed after the presentation with a large retroperitoneal abscess for the first time in literature. A 55-year-old woman with diabetes mellitus presented to us with painful lump in the left lumbar region of the back for 1-week duration. On examination, there was a firm, diffuse lump in the left lumbar region of the back. Her inflammatory markers were high, but the serum creatinine and blood urea were within the normal range. Abdominal ultrasonography showed a distorted left kidney with a heterogeneous mass consisting cystic and solid components measuring approximately 7 × 9 × 8 cm in size. A contrast-enhanced computed tomography scan showed an 11 × 9 × 9 cm-sized low-density mass posterior to the left kidney with multiple contrast-enhancing septations which appeared posterior to but separate from the left kidney within the left renal fascia. There was breeching of the Gerota’s fascia with extension posteriorly up to subcutaneous tissue. Since the radiological opinion was in favour of a complex perinephric abscess, open drainage of the abscess was performed after failed attempts of ultrasound-guided drainage. The biopsy of the abscess wall was suggestive of a renal cell carcinoma and radical nephrectomy was planned. Due to tumour invasion, the radical nephrectomy was combined with a splenectomy and the specimen sent for histology. It showed an inflammatory myofibroblastic tumour or pseudotumour with the periphery showing ulceration and abscess formation. The patient had an uneventful recovery following surgery. Thus, we report the first case of renal inflammatory myofibroblastic tumour presenting with a large retroperitoneal abscess extending to the subcutaneous tissue plane. Final diagnosis was made only after radical surgery which was curative.

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“…Fever, dry cough and chest pain were found happened in pulmonary IMT patients [ 2 , 3 ], and dysphagia, reflux were the appearances of esophageal IMT [ 10 ]. Meanwhile, hematemesis and melaena were also reported in the cases of esophageal IMT [ 11 , 12 ]. However, not all patients will appear the above symptoms and the patients in this study only showed the progressive dysphagia.…”

Section: Discussionmentioning

confidence: 99%

“…Meanwhile, since IMT has a high cellularity and predominant inflammatory cells, an elevated SUV max will be a pitfall in the differential diagnosis of IMT from malignancy [ 13 , 14 ]. Endoscopy and radiological examinations are suit for esophageal IMT, but only 77% of the cases were found to be related to histopathology [ 12 , 15 , 16 ]. Variable spindle cell proliferation in a myxoid-to-collagenous stroma, inflammatory infiltrate composed primarily of plasma cells and lymphocytes, variable expression and lack of specificity of myofibroblastic markers can be the evidence of diagnosis of IMT histopathologically [ 4 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

A rare cause of chronic dysphagia: pulmonary inflammatory myofibroblastic tumor with distal esophagus invasion

Chen

2021

J Cardiothorac Surg

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Background Inflammatory myofibroblastic tumor (IMT) is rare intermediate tumor, which happens mostly in children and young adults. Case presentation Reported is the successful treatment of a 29-year-old man presented with progressively dysphagia and weight loss. No other abnormal symptoms were observed. The contrast enhanced computed tomography (CT) revealed a dumbbell-shaped lesion between lung and esophagus. Finally, it was pathologically diagnosed as pulmonary IMT invading to the distal esophagus after operation. The patient underwent partial esophagectomy and left lower lobectomy, and was discharged on 10th postoperative day. Conclusions IMT is a rare lesion that usually occurs in the lung, but pulmonary IMT with distal esophagus invasion has not been described previously. Discriminating untypical symptom, completed resection, pathological expertise and closed follow-up will reach the successful diagnosis and treatment.

show abstract

Inflammatory myofibroblastic tumor of the esophagus presenting with hematemesis and melaena: a case report and review of literature

Cited by 7 publications

References 9 publications

A Rare Cause of Chronic Dysphagia: Pulmonary Inflammatory Myofibroblastic Tumor with Distal Esophagus Invasion

A Rare Cause of Chronic Dysphagia: Pulmonary Inflammatory Myofibroblastic Tumor with Distal Esophagus Invasion

Renal inflammatory myofibroblastic tumour presenting with a large retroperitoneal abscess

A rare cause of chronic dysphagia: pulmonary inflammatory myofibroblastic tumor with distal esophagus invasion

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