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Inflammatory pseudotumor and myofibroblastic inflammatory tumor. Diagnostic criteria and prognostic differences.
Carrasco Rodríguez, Rommel; García Fontán, Eva María; Blanco Ramos, Montserrat; Magdalena Benavides, Laura Juaneda; Otero Lozano, Daniel; Moldes Rodriguez, Milagros; Cañizares Carretero, Miguel Angel.
Afiliación
  • Carrasco Rodríguez R; Servicio de Cirugía Torácica, Hospital Álvaro Cunqueiro, Vigo, Pontevedra, Spain. Electronic address: rcarrasco_88@hotmail.com.
  • García Fontán EM; Servicio de Cirugía Torácica, Hospital Álvaro Cunqueiro, Vigo, Pontevedra, Spain.
  • Blanco Ramos M; Servicio de Cirugía Torácica, Hospital Álvaro Cunqueiro, Vigo, Pontevedra, Spain.
  • Magdalena Benavides LJ; Servicio de Anatomía Patológica, Hospital Álvaro Cunqueiro, Vigo, Pontevedra, Spain.
  • Otero Lozano D; Servicio de Cirugía Torácica, Hospital Álvaro Cunqueiro, Vigo, Pontevedra, Spain.
  • Moldes Rodriguez M; Servicio de Cirugía Torácica, Hospital Álvaro Cunqueiro, Vigo, Pontevedra, Spain.
  • Cañizares Carretero MA; Servicio de Cirugía Torácica, Hospital Álvaro Cunqueiro, Vigo, Pontevedra, Spain.
Cir Esp (Engl Ed) ; 100(6): 329-335, 2022 Jun.
Article en En | MEDLINE | ID: mdl-35577280
INTRODUCTION: Inflammatory pseudotumor (IPT) and inflammatory myofibroblastic tumor (IMT) are two very rare entities that were formerly included in the same category; however, today they are considered two different diseases due to the neoplastic origin of the IMT. Our objective is to share our experience in the management of these two types of tumors that we must take into account in the differential diagnosis of pulmonary masses or nodules. METHODS: Thirteen patients with a pathological diagnosis of IPT and IMT who underwent surgery between 2008 and 2019 were retrospectively studied. We recorded the pre and postoperative information of each one, as well as the survival analysis. RESULTS: Of the 13 patients, 8 were men and 5 women. The mean age of presentation was 53,5 years. An atypical segmentectomy was performed in 6 patients; a lobectomy was necessary in 6 and a pneumonectomy in 1 case. In all cases a complete resection was achieved. Diagnosis was possible thanks to histology, immunohistochemical (IHQ) and fluorescent in situ hybridization (FISH) techniques determining the expression of IgG4 and the rearrangement of ALK, respectively. After a median follow up of 49 months, we didn't find any loco-regional or distant recurrence in the patients studied. CONCLUSION: IPT and IMT are rare tumors with a very good prognostic. The diagnosis of both entities is based mainly on specific anatomopathological techniques. Surgery has, in most cases, both a diagnostic and therapeutic role.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Granuloma de Células Plasmáticas Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies Límite: Female / Humans Idioma: En Revista: Cir Esp (Engl Ed) Año: 2022 Tipo del documento: Article Pais de publicación: España
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Granuloma de Células Plasmáticas Tipo de estudio: Diagnostic_studies / Observational_studies / Prognostic_studies Límite: Female / Humans Idioma: En Revista: Cir Esp (Engl Ed) Año: 2022 Tipo del documento: Article Pais de publicación: España