Inflammatory myofibroblastic tumor with bone marrow involvement. A case report and review of the literature

Arch Pathol Lab Med. 2003 Jul;127(7):865-7. doi: 10.5858/2003-127-865-IMTWBM.

Abstract

Inflammatory myofibroblastic tumor, also referred to as inflammatory fibrosarcoma, is a rare tumor composed of myofibroblastic spindle cells of uncertain etiology and disputed nosology. We report a case of inflammatory myofibroblastic tumor of the omentum with involvement of the bone marrow in an 18-year-old man. Histologic and immunohistochemical studies of the abdominal mass and bone marrow were consistent with inflammatory myofibroblastic tumor. Additionally, fluorescence in situ hybridization using a probe specific for the ALK gene showed disruption of the gene. The literature is reviewed with emphasis on the ability of inflammatory myofibroblastic tumor to recur, metastasize, and cause mortality.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adolescent
  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Bone Marrow Neoplasms / drug therapy
  • Bone Marrow Neoplasms / pathology*
  • Bone Marrow Neoplasms / secondary
  • Bone Marrow Neoplasms / surgery
  • Humans
  • Inflammation / drug therapy
  • Inflammation / pathology
  • Inflammation / surgery
  • Male
  • Neoplasm Recurrence, Local / genetics
  • Neoplasm Recurrence, Local / pathology
  • Neoplasms, Muscle Tissue / drug therapy
  • Neoplasms, Muscle Tissue / pathology*
  • Neoplasms, Muscle Tissue / secondary
  • Neoplasms, Muscle Tissue / surgery
  • Omentum / drug effects
  • Omentum / pathology
  • Omentum / surgery
  • Peritoneal Neoplasms / genetics
  • Peritoneal Neoplasms / pathology
  • Peritoneal Neoplasms / surgery