Article Text

Download PDFPDF
Inflammatory myofibroblastic tumour of appendix
  1. R Vijayaraghavan,
  2. R Chandrashekar,
  3. C S Belagavi
  1. Raj Mahal Vilas Hospital, Sanjaynagar, Bangalore, India
  1. Correspondence to:
    R Vijayaraghavan
    Raj Mahal Vilas Hospital, 138, AECS Layout, Sanjaynagar, Bangalore 560094, India; wetware{at}

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Inflammatory myofibroblastic tumours (IMFTs) are rare, distinct clinicopathological entities characterised by a dense inflammatory cell component amid myofibroblastic proliferation. Although the lung is the site commonly associated, there are reports of extra pulmonary involvement. IMFTs of the gastrointestinal tract are extremely rare and there have been only three confirmed cases of involvement of the appendix. These benign tumours have distinctive clinicopathological features that distinguish them from inflammatory fibroid polyps, gastrointestinal stromal tumours, smooth muscle tumours, sclerosing mesenteritis, lymphoma and other malignant tumours.1–6 This letter highlights the clinical and immunohistological features of an IMFT of the appendix.

A 34-year-old man presented with progressively worsening colicky pain in the right lower abdomen for the past 3 days, associated with low-grade fever and two episodes of vomiting. Clinical examination showed a tender right lower quadrant with a vague mass. Investigations were unremarkable except for a raised total white cell count and an increased erythrocyte sedimentation rate (12 800 cells/mm3 and erythrocyte …

View Full Text


  • Competing interests: None declared.