Vol.62 No.2 contents | Japanese/English |
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- Case Report -
A Case of Inflammatory Myofibroblastic Tumor of the Lung with Progressive Enlargement
Sachie Koike1, Masahisa Miyazawa1, Nobutaka Kobayashi11Department of Thoracic Surgery, Nagano Red Cross Hospital, Japan
Background. Inflammatory myofibroblastic tumors (IMTs) of the lung are mesenchymal tumors composed of myofibroblastic spindle cells admixed with inflammatory cells, and are occasionally difficult to distinguish from malignant tumors. Case. A 19-year-old man was found to have an abnormal shadow in the left lower lung field on chest radiography, and was referred to our hospital. Chest computed tomography (CT) revealed a well-circumscribed nodular lesion of the left lower lung lobe, that progressively increased in size over 6 months. The nodule showed increased accumulation on 18F-fluorodeoxyglucose positron emission tomography. We performed left lower lobectomy and lymph node dissection. A histological analysis of the lesion revealed IMT. Conclusion. We reported a case of IMT that progressively increased in size, and which was resected on suspicion of lung malignancy. Cases of post-surgical relapse have been reported, highlighting the necessity of follow-up.
key words: Inflammatory myofibroblastic tumor of the lung, Enlargement, Resection
Received: October 1, 2021
Accepted: November 24, 2021
JJLC 62 (2): 121-126, 2022