A Case of Recurrent Pulmonary Inflammatory Myofibroblastic Tumor with Aggressive Metastasis after Complete Resection

Tuberculosis and Respiratory Diseases

article

Chae Ho Moon¹  Jong Ho Yoon¹  Geon Wook Kang¹  Seong Hyeon Lee¹  Jeong Su Baek¹  Seo Yun Kim¹  Hye-Ryoun Kim¹  Cheol Hyeon Kim¹ 

[1] Department of Internal Medicine, Korea Cancer Center Hospital, Korea Institute of Radiological and Medical Sciences

关键词: Lung Neoplasms;    Myofibroblasts;    Lung;    Recurrence;    Neoplasm Metastasis;   

DOI  :  10.4046/trd.2013.75.4.165

学科分类：医学（综合）

来源: The Korean Academy of Tuberculosis and Respiratory Diseases

【 摘 要 】

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.

【 授权许可】

CC BY-NC