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Inflammatory myofibroblastic tumor

MedGen UID:
137723
Concept ID:
C0334121
Neoplastic Process
Synonyms: Inflammatory fibrosarcoma; Inflammatory pseudotumor
SNOMED CT: Inflammatory myofibroblastic tumor (771233008); Inflammatory myofibroblastic tumor (1290860006); 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

Curated

NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®), Soft Tissue Sarcoma, 2024

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
Baranov E, Hornick JL
Head Neck Pathol 2020 Mar;14(1):43-58. Epub 2020 Jan 16 doi: 10.1007/s12105-019-01104-3. PMID: 31950474Free 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
Lai LM, McCarville MB, Kirby P, Kao SC, Moritani T, Clark E, Ishigami K, Bahrami A, Sato Y
Pediatr Radiol 2015 Nov;45(12):1738-52. Epub 2015 May 12 doi: 10.1007/s00247-015-3360-6. PMID: 25964134
Polito E, Pichierri P, Loffredo A, Moramarco A, Occhini R
Ophthalmologica 2007;221(5):353-5. doi: 10.1159/000104767. PMID: 17728559

Diagnosis

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
Barata F, Marques D, Figueiredo A
Rev Port Cir Cardiotorac Vasc 2020 Apr-Jun;27(2):79-80. PMID: 32707612
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
Fisher C
Adv Anat Pathol 2004 Jul;11(4):190-201. doi: 10.1097/01.pap.0000131773.16130.aa. PMID: 15220822

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
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
Mariño-Enríquez A, Wang WL, Roy A, Lopez-Terrada D, Lazar AJ, Fletcher CD, Coffin CM, Hornick JL
Am J Surg Pathol 2011 Jan;35(1):135-44. doi: 10.1097/PAS.0b013e318200cfd5. PMID: 21164297

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
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
Zhao JJ, Ling JQ, Fang Y, Gao XD, Shu P, Shen KT, Qin J, Sun YH, Qin XY
World J Gastroenterol 2014 Oct 7;20(37):13625-31. doi: 10.3748/wjg.v20.i37.13625. PMID: 25309095Free PMC Article
Mariño-Enríquez A, Wang WL, Roy A, Lopez-Terrada D, Lazar AJ, Fletcher CD, Coffin CM, Hornick JL
Am J Surg Pathol 2011 Jan;35(1):135-44. doi: 10.1097/PAS.0b013e318200cfd5. PMID: 21164297
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

Raitio A, Losty PD
Eur J Surg Oncol 2024 Jul;50(7):108388. Epub 2024 May 3 doi: 10.1016/j.ejso.2024.108388. PMID: 38713995
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

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Curated

    • NCCN, 2024
      NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®), Soft Tissue Sarcoma, 2024

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