A Case of Recurrent Pulmonary Inflammatory Myofibroblastic Tumor with Aggressive Metastasis after Complete Resection.
10.4046/trd.2013.75.4.165
- Author:
Chae Ho MOON
1
;
Jong Ho YOON
;
Geon Wook KANG
;
Seong Hyeon LEE
;
Jeong Su BAEK
;
Seo Yun KIM
;
Hye Ryoun KIM
;
Cheol Hyeon KIM
Author Information
1. Department of Internal Medicine, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences, Seoul, Korea. cheol@kcch.re.kr
- Publication Type:Case Report
- Keywords:
Lung Neoplasms;
Myofibroblasts;
Lung;
Recurrence;
Neoplasm Metastasis
- MeSH:
Humans;
Lung;
Lung Neoplasms;
Middle Aged;
Myofibroblasts*;
Neoplasm Metastasis*;
Rare Diseases;
Recurrence;
Spinal Cord Compression
- From:Tuberculosis and Respiratory Diseases
2013;75(4):165-169
- CountryRepublic of Korea
- Language:English
-
Abstract:
An inflammatory myofibroblastic tumor (IMT) is a rare disease entity reported to arise in various organs. It is thought to be a neoplastic or reactive inflammatory condition, controversially. The treatment of choice for myofibroblastic tumor is surgery, and recurrence is known to be rare. The optimal treatment method is not well-known for patients ineligible for surgery. We report a 47-year-old patient with aggressive recurrent IMT of the lungs. The patient had been admitted for an evaluation of back-pain two years after a complete resection of pulmonary IMT. Radiation therapy was performed for multiple bone recurrences, and the symptoms were improved. However the patient presented again with aggravated back-pain six months later. High-dose steroid and non-steroidal anti-inflammatory drugs were administered, but the disease progressed aggressively, resulting in spinal cord compression and metastasis to intra-abdominal organs. This is a very rare case of aggressively recurrent pulmonary IMT with multi-organ metastasis.
