Synonyms
Inflammatory myofibroblastoma; Inflammatory myofibrohistiocytic proliferation; Inflammatory pseudotumor; Plasma cell granuloma; Plasma cell pseudotumor
Definition
The inflammatory myofibroblastic tumor comprises spindle or polygonal fibroblast-/myofibroblast-type cells, which often express anaplastic lymphoma kinase (ALK), and stromal lymphoplasmacytic inflammatory cells. Some authors have differentiated inflammatory myofibroblastic tumors from reactive pseudosarcomatous processes and other neoplasms based on ALK immunoreactivity or evidence of the ALK translocation, but many consider ALK-negative inflammatory myofibroblastic tumors a valid diagnostic category.
Clinical Features
Incidence
Inflammatory myofibroblastic tumors (IMTs) are rare in the upper gastrointestinal (GI) tract.
Age
Inflammatory myofibroblastic tumors mean age (range) is 41 years (0.75–84) (Makhlouf and Sobin 2002).
Sex
The male to female ratio of inflammatory myofibroblastic tumors is 1.1:1 (Makhlouf and...
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Coffin, C. M., Watterson, J., Priest, J. P., & Dehner, L.-P. (1995). Extrapulmonary inflammatory myofibroblastic tumor (inflammatory pseudotumor). A clinicopathologic and immunohistochemical study of 84 cases. The American Journal of Surgical Pathology, 19, 859–872.
Fisher, C. (2011). Immunohistochemistry in diagnosis of soft tissue tumours. Histopathology, 58, 1001–1012.
Kelleher, F. C., & McDermott, R. (2010). The emerging pathogenic and therapeutic importance of the anaplastic lymphoma kinase gene. European Journal of Cancer, 46(13), 2357–2368.
Makhlouf, H. R., & Sobin, L. H. (2002). Inflammatory myofibroblastic tumors (inflammatory pseudotumors) of the gastrointestinal tract: How closely are they related to inflammatory fibroid polyps? Human Pathology, 33, 307–315.
Patel, A. S., Murphy, K. M., Hawkins, A. L., Cohen, J. S., Long, P. P., Perlman, E. J., & Griffin, C. A. (2007). RANBP2 and CLTC are involved in ALK rearrangements in inflammatory myofibroblastic tumors. Cancer Genetics and Cytogenetics, 176, 107–114.
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Lopes, J.M. (2017). Inflammatory Myofibroblastic Tumor, Upper Gastrointestinal Tract. In: Carneiro, F., Chaves, P., Ensari, A. (eds) Pathology of the Gastrointestinal Tract. Encyclopedia of Pathology. Springer, Cham. https://doi.org/10.1007/978-3-319-40560-5_1640
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DOI: https://doi.org/10.1007/978-3-319-40560-5_1640
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