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Inflammatory myofibroblastic tumor

MedGen UID:
137723
Concept ID:
C0334121
Neoplastic Process
Synonyms: Inflammatory fibrosarcoma; Inflammatory pseudotumor
SNOMED CT: Myofibroblastic tumor (116064009); Inflammatory myofibroblastic tumor (116064009); Inflammatory myofibroblastic tumor (771233008); Inflammatory pseudotumor (35073002)
 
Monarch Initiative: MONDO:0015798
Orphanet: ORPHA178342

Definition

A rare neoplastic lesion of the submucosal stroma, which can develop in any organ, often occurring in the lung, mesentery, omentum and the retroperitoneal region. It is histologically heterogenous, composed of spindle-shaped cells, myofibroblasts and inflammatory cells. It is usually benign, however local invasion, recurrence, malignant transformation with vascular invasion and metastases may occur. The presentation is nonspecific and depends on the organ involved. Some patients may present with paraneoplastic syndrome (fever, malaise, weight loss, thrombocytosis) or symptoms related to compression of adjacent organs, such as bowel obstruction. [from SNOMEDCT_US]

Professional guidelines

PubMed

Fuchs J, Warmann SW, Urla C, Schäfer JF, Schmidt A
Semin Pediatr Surg 2020 Aug;29(4):150941. Epub 2020 Jul 24 doi: 10.1016/j.sempedsurg.2020.150941. PMID: 32861445
Luk PP, Selinger CI, Cooper WA, Mahar A, Palme CE, O'Toole SA, Clark JR, Gupta R
Head Neck Pathol 2019 Sep;13(3):397-414. Epub 2018 Nov 22 doi: 10.1007/s12105-018-0988-1. PMID: 30467669Free PMC Article
Magro G
Surg Pathol Clin 2018 Mar;11(1):91-121. Epub 2017 Dec 9 doi: 10.1016/j.path.2017.09.005. PMID: 29413661

Recent clinical studies

Etiology

Schoot RA, Orbach D, Minard Colin V, Alaggio R, Di Carlo D, Corradini N, Mercolini F, Milano GM, van Noesel MM, Rome A, Dall'Igna P, Pajtler K, Sparber-Sauer M, Ferrari A, Casanova M
JCO Precis Oncol 2023 Sep;7:e2300323. doi: 10.1200/PO.23.00323. PMID: 37856763
Nakano K
Jpn J Clin Oncol 2023 Oct 4;53(10):885-892. doi: 10.1093/jjco/hyad074. PMID: 37394916
Carrasco Rodríguez R, García Fontán EM, Blanco Ramos M, Magdalena Benavides LJ, Otero Lozano D, Moldes Rodriguez M, Cañizares Carretero MA
Cir Esp (Engl Ed) 2022 Jun;100(6):329-335. Epub 2022 May 13 doi: 10.1016/j.cireng.2022.05.012. PMID: 35577280
Shi P, Zhang L, Shi H, Wu Y
Oncol Res Treat 2022;45(6):353-365. Epub 2022 Apr 11 doi: 10.1159/000524489. PMID: 35405683Free PMC Article
Shukla PS, Mittal K
Arch Pathol Lab Med 2019 Jan;143(1):122-129. Epub 2018 Jul 2 doi: 10.5858/arpa.2017-0575-RA. PMID: 29965784

Diagnosis

Wang D, Misdraji J
Surg Pathol Clin 2023 Sep;16(3):565-580. Epub 2023 May 31 doi: 10.1016/j.path.2023.04.010. PMID: 37536889
Karpathiou G, Devouassoux-Shisheboran M, Stolnicu S, Chauleur C, Péoc'h M
Pathol Res Pract 2023 Feb;242:154335. Epub 2023 Jan 23 doi: 10.1016/j.prp.2023.154335. PMID: 36706588
Kertowidjojo EC, Bennett JA
Surg Pathol Clin 2022 Jun;15(2):315-340. Epub 2022 May 20 doi: 10.1016/j.path.2022.02.008. PMID: 35715164
Khatri A, Agrawal A, Sikachi RR, Mehta D, Sahni S, Meena N
Adv Respir Med 2018;86(1):27-35. doi: 10.5603/ARM.2018.0007. PMID: 29490419
Miller DV, Tazelaar HD
Arch Pathol Lab Med 2010 Mar;134(3):362-8. doi: 10.5858/134.3.362. PMID: 20196664

Therapy

Wang QA, Chen HW, Wu RC, Wu CE
Curr Treat Options Oncol 2023 Dec;24(12):1683-1702. Epub 2023 Nov 8 doi: 10.1007/s11864-023-01144-6. PMID: 37938503Free PMC Article
Schoot RA, Orbach D, Minard Colin V, Alaggio R, Di Carlo D, Corradini N, Mercolini F, Milano GM, van Noesel MM, Rome A, Dall'Igna P, Pajtler K, Sparber-Sauer M, Ferrari A, Casanova M
JCO Precis Oncol 2023 Sep;7:e2300323. doi: 10.1200/PO.23.00323. PMID: 37856763
Mahajan P, Casanova M, Ferrari A, Fordham A, Trahair T, Venkatramani R
Curr Probl Cancer 2021 Aug;45(4):100768. Epub 2021 Jul 1 doi: 10.1016/j.currproblcancer.2021.100768. PMID: 34244015
Theilen TM, Soerensen J, Bochennek K, Becker M, Schwabe D, Rolle U, Klingebiel T, Lehrnbecher T
Pediatr Blood Cancer 2018 Apr;65(4) Epub 2017 Dec 29 doi: 10.1002/pbc.26920. PMID: 29286567
Minoo P, Wang HY
Int J Clin Exp Pathol 2012;5(5):397-410. Epub 2012 May 23 PMID: 22808292Free PMC Article

Prognosis

Schoot RA, Orbach D, Minard Colin V, Alaggio R, Di Carlo D, Corradini N, Mercolini F, Milano GM, van Noesel MM, Rome A, Dall'Igna P, Pajtler K, Sparber-Sauer M, Ferrari A, Casanova M
JCO Precis Oncol 2023 Sep;7:e2300323. doi: 10.1200/PO.23.00323. PMID: 37856763
Zhang Y, Liu J
Front Endocrinol (Lausanne) 2023;14:1156117. Epub 2023 May 15 doi: 10.3389/fendo.2023.1156117. PMID: 37255972Free PMC Article
Karpathiou G, Devouassoux-Shisheboran M, Stolnicu S, Chauleur C, Péoc'h M
Pathol Res Pract 2023 Feb;242:154335. Epub 2023 Jan 23 doi: 10.1016/j.prp.2023.154335. PMID: 36706588
Wang GY, Lucas DR
Arch Pathol Lab Med 2018 Oct;142(10):1159-1163. doi: 10.5858/arpa.2018-0205-RA. PMID: 30281365
Khatri A, Agrawal A, Sikachi RR, Mehta D, Sahni S, Meena N
Adv Respir Med 2018;86(1):27-35. doi: 10.5603/ARM.2018.0007. PMID: 29490419

Clinical prediction guides

Miettinen M, Abdullaev Z, Turakulov R, Quezado M, Luiña Contreras A, Curcio CA, Rys J, Chlopek M, Lasota J, Aldape KD
Am J Surg Pathol 2024 Jan 1;48(1):112-122. Epub 2023 Nov 3 doi: 10.1097/PAS.0000000000002138. PMID: 37921028Free PMC Article
Ladwig NR, Bean GR, Pekmezci M, Boscardin J, Joseph NM, Therrien N, Sangoi AR, Piening B, Rajamanickam V, Galvin M, Bernard B, Zaloudek C, Rabban JT, Garg K, Umetsu SE
Am J Surg Pathol 2023 Feb 1;47(2):157-171. Epub 2022 Nov 7 doi: 10.1097/PAS.0000000000001987. PMID: 36344483
Krings G, McIntire P, Shin SJ
Semin Diagn Pathol 2017 Sep;34(5):427-437. Epub 2017 May 28 doi: 10.1053/j.semdp.2017.05.010. PMID: 28751104
Ong HS, Ji T, Zhang CP, Li J, Wang LZ, Li RR, Sun J, Ma CY
Oral Oncol 2012 Feb;48(2):141-8. Epub 2011 Oct 19 doi: 10.1016/j.oraloncology.2011.09.004. PMID: 22014665
Miller DV, Tazelaar HD
Arch Pathol Lab Med 2010 Mar;134(3):362-8. doi: 10.5858/134.3.362. PMID: 20196664

Recent systematic reviews

Sreenivasan S, Agarwal N, Bharath Raju, Kandregula S, Narayan V, Chen CC, Sharma M
World Neurosurg 2023 Dec;180:194-202.e11. Epub 2023 Sep 13 doi: 10.1016/j.wneu.2023.09.026. PMID: 37708970
Chanthong S, Sathitsamitphong L, Natesirinilkul R, Charoenkwan P, Suwansirikul S, Choed-Amphai C
Childs Nerv Syst 2023 Feb;39(2):331-342. Epub 2022 Dec 14 doi: 10.1007/s00381-022-05789-w. PMID: 36515740
Spinazzi EF, Desai SV, Fang CH, Jyung RW, Liu JK, Baredes S, Eloy JA
Laryngoscope 2015 Nov;125(11):2593-600. Epub 2015 Apr 17 doi: 10.1002/lary.25308. PMID: 25892586
Jindal A, Bal A, Agarwal R
J Bronchology Interv Pulmonol 2015 Jan;22(1):58-65. doi: 10.1097/LBR.0000000000000105. PMID: 25590486
Desai SV, Spinazzi EF, Fang CH, Huang G, Tomovic S, Liu JK, Baredes S, Eloy JA
Laryngoscope 2015 Apr;125(4):813-21. Epub 2014 Nov 6 doi: 10.1002/lary.24993. PMID: 25376630

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