1
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Li J, Liu J, Yao X, Yang J. A rare inflammatory myofibroblastic tumor appearing both inside and outside the heart. Eur J Med Res 2024; 29:132. [PMID: 38368344 PMCID: PMC10874007 DOI: 10.1186/s40001-024-01710-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2024] [Accepted: 02/02/2024] [Indexed: 02/19/2024] Open
Abstract
BACKGROUND Inflammatory myofibroblastic tumor (IMT) is an uncommon cardiac tumor that primarily affects infants, children, and young adults. While complete surgical resection generally leads to a favorable prognosis, accurate diagnostic tests remain limited. CASE PRESENTATION We describe the case of a 26-year-old female who had a dual tumor inside and outside the heart and was misdiagnosed by echocardiography and MRI. We also review 71 cases of cardiac IMTs from the literature regarding their epidemiology, clinical presentation, and outcome. CONCLUSION Early detection of this rare disorder is essential for optimal surgical management.
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Affiliation(s)
- Jiarong Li
- Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, Middle Renmin Road 139, Changsha, 410011, China
| | - Jijia Liu
- Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, Middle Renmin Road 139, Changsha, 410011, China
| | - Xingwang Yao
- Clinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South University, Changsha, 410011, China.
| | - Jinfu Yang
- Department of Cardiovascular Surgery, The Second Xiangya Hospital, Central South University, Middle Renmin Road 139, Changsha, 410011, China.
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2
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Luo FR, Lin YF, Lin JL, Liang XS, Xiao HJ, Huang RG. Inflammatory myofibroblastic tumor of the heart in an older woman with paroxysmal atrial fibrillation: a case report and review of the literature. J Cardiothorac Surg 2024; 19:47. [PMID: 38310322 PMCID: PMC10838421 DOI: 10.1186/s13019-024-02525-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Accepted: 01/28/2024] [Indexed: 02/05/2024] Open
Abstract
Inflammatory myofibroblastic tumors (IMTs) of the heart are rarely observed in the eldly. We report a case involving an elderly woman with an IMT situated on the right atrial wall. The tumor was fully excised. The patient had a smooth recovery post-surgery and remained free of recurrence for three years.
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Affiliation(s)
- Fu-Rong Luo
- Department of Radiology, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou, China
| | - Yi-Fen Lin
- Department of Radiology, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou, China
| | - Jing-Lian Lin
- Department of Radiology, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou, China
| | - Xiao-Shan Liang
- Department of Radiology, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou, China
| | - Hui-Jun Xiao
- Department of Radiology, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou, China.
| | - Rui-Gang Huang
- Department of Radiology, Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou, China.
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3
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Soares BM, Soares AM, Aiello VD. Superior caval vein syndrome and cardiac inflammatory myofibroblastic tumour in an infant. Cardiol Young 2023; 33:1226-1228. [PMID: 37070343 DOI: 10.1017/s1047951122003845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 04/19/2023]
Abstract
The inflammatory myofibroblastic tumour, although very rare, must be considered in the differential diagnosis of intracardiac masses in children as it has systemic implications. We present a case of an infant whose diagnosis was suspected on clinical basis and echocardiogram, but the anatomopathological analysis with immunohistochemical study was essential for the conclusion of the histological type and orientation of the clinical follow-up.
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Affiliation(s)
- Bernardo Mussi Soares
- Fundacao Tecnico-Educacional Souza Marques Escola de Medicina Souza Marques, Rio de Janeiro 21310-310, Brazil
| | | | - Vera Demarchi Aiello
- Laboratory of Pathology, Heart Institute (InCor), University of Sao Paulo School of Medicine, Sao Paulo, Brazil
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4
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Domínguez-Massa C, Doñate-Bertolín L, Blanco-Herrera ÓR, Heredia-Cambra T, Pérez-Guillén M, Martínez-Cózar V, Mayordomo-Aranda E, Hornero-Sos F. Inflammatory myofibroblastic tumor: A rare entity with a complex diagnosis. Rev Port Cardiol 2023; 42:169.e1-169.e4. [PMID: 36526128 DOI: 10.1016/j.repc.2022.12.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2018] [Accepted: 07/06/2019] [Indexed: 12/15/2022] Open
Abstract
Inflammatory myofibroblastic tumor is a neoplasm with uncertain behavior. We describe a case in a 66-year-old female who underwent resection of a left atrial tumor suspected to be a cardiac myxoma which was subsequently diagnosed as an inflammatory myofibroblastic tumor. After three years' follow-up the patient underwent a second operation to remove tumoral occurrence in the right atrium, diagnosed as an intimal sarcoma. It cannot be confirmed whether the tumoral recurrence with a different diagnosis (intimal sarcoma) was a progression from the primary tumor or the metachronous appearance of a spontaneous sarcoma.
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Affiliation(s)
- Carlos Domínguez-Massa
- Department of Cardiovascular Surgery, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
| | - Lucía Doñate-Bertolín
- Department of Cardiovascular Surgery, Hospital Universitario y Politécnico La Fe, Valencia, Spain
| | - Óscar R Blanco-Herrera
- Department of Cardiovascular Surgery, Hospital Universitario y Politécnico La Fe, Valencia, Spain
| | - Tomás Heredia-Cambra
- Department of Cardiovascular Surgery, Hospital Universitario y Politécnico La Fe, Valencia, Spain
| | - Manuel Pérez-Guillén
- Department of Cardiovascular Surgery, Hospital Universitario y Politécnico La Fe, Valencia, Spain
| | - Vicent Martínez-Cózar
- Department of Pathology, Hospital Universitario y Politécnico La Fe, Valencia, Spain
| | | | - Fernando Hornero-Sos
- Department of Cardiovascular Surgery, Hospital Universitario y Politécnico La Fe, Valencia, Spain
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5
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Zhu W, Pan W, Li Z. Inflammatory myofibroblastic tumour of the mitral valve. J Paediatr Child Health 2022; 58:2104-2105. [PMID: 35838010 DOI: 10.1111/jpc.16086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Revised: 02/16/2022] [Accepted: 05/01/2022] [Indexed: 11/29/2022]
Affiliation(s)
- Weiwei Zhu
- Department of Pediatrics, Peking University Third Hospital, Beijing, China
| | - Weiwei Pan
- Department of Pediatrics, Peking University Third Hospital, Beijing, China
| | - Zailing Li
- Department of Pediatrics, Peking University Third Hospital, Beijing, China
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6
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Faim D, Francisco A, Pires A. Cardiac tumours in children: a single-centre experience and literature review. Cardiol Young 2022; 32:1-10. [PMID: 35225200 DOI: 10.1017/s1047951122000531] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
Cardiac tumours are extremely rare in children. Although more than 90% are benign, children can develop obstructive or embolisation derived symptoms, arrhythmias, constitutional symptoms, cardiac tamponade, or even sudden death. Although the majority are asymptomatic, and some spontaneously regress, appropriate follow-up is needed on a case-by-case basis, as patients may develop late symptoms. Definitive diagnosis is only possible through histological analysis; however, it is possible to infer tumour type with a high grade of certainty based on imaging features, particularly cardiac magnetic resonance. Surgical resection is advocated for those causing symptoms, obstruction, cardiac dysfunction, and high risk of embolisation. The aim of this review is to present the state of the art related to cardiac tumours in the paediatric population, in the context of our own experience.
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Affiliation(s)
- Diogo Faim
- Department of Paediatric Cardiology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - Andreia Francisco
- Department of Paediatric Cardiology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
| | - António Pires
- Department of Paediatric Cardiology, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal
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7
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Liu J, Bai Z, Li S, Zeng S, Li C, Liu Q. Case Report: Recurrence of Testicular Myofibroblastic Tumor After Surgery. Front Oncol 2022; 11:810708. [PMID: 35096616 PMCID: PMC8795764 DOI: 10.3389/fonc.2021.810708] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2021] [Accepted: 12/21/2021] [Indexed: 11/13/2022] Open
Abstract
Inflammatory myofibroblastic tumour (IMT), also known as plasma cell granuloma (PCG) or inflammatory pseudotumour (IPT), is a distinctive, rarely metastasizing neoplasm composed of myofibroblastic and fibroblastic spindle cells accompanied by inflammatory infiltration of plasma cells, lymphocytes and/or eosinophils. IMT predominantly affects children and young adults, and the age at presentation ranges from 3 to 89 years. We present a very rare case of recurrent testicular IMT without ALK rearrangement. This case highlights the clinical characteristics and diagnostic factors associated with primary and recurrent foci of this rare tumour, along with key therapeutic approaches.
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Affiliation(s)
- Jiayi Liu
- The First Central Clinical College of Tianjin Medical University, Tianjin, China.,Department of Urology, Tianjin First Central Hospital, School of Medicine, NanKai University, Tianjin, China
| | - Zhijie Bai
- Department of Urology, Tianjin First Central Hospital, School of Medicine, NanKai University, Tianjin, China
| | - Shuaiqi Li
- School of Medicine, Nankai University, Tianjin, China
| | - Sheng Zeng
- Department of Urology, Tianjin First Central Hospital, School of Medicine, NanKai University, Tianjin, China
| | - Chuang Li
- Department of Urology, Tianjin First Central Hospital, School of Medicine, NanKai University, Tianjin, China
| | - Qian Liu
- Department of Urology, Tianjin First Central Hospital, School of Medicine, NanKai University, Tianjin, China
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8
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Ponzoni M, Reffo E, Basso C, Rizzo S, Padalino MA. Recurrent pulmonary embolization of inflammatory myofibroblastic tumor: a case report. Cardiovasc Pathol 2020; 50:107270. [PMID: 32858207 DOI: 10.1016/j.carpath.2020.107270] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/13/2020] [Revised: 08/12/2020] [Accepted: 08/20/2020] [Indexed: 10/23/2022] Open
Abstract
We report a case of inflammatory myofibroblastic tumor affecting the pulmonary artery in a 15-year-old male, presenting with a clinical scenario of recurrent pulmonary embolisms. During diagnostic workup for persistent fever, a mass in main pulmonary artery was detected at echocardiography and confirmed at angio-CT scan. The patient underwent a first successful surgical resection and discharged home with no echocardiographic evidence of residual lesions, but, after 5 months, he was admitted for hemoptysis and an angio CT-scan showed a mass in right pulmonary artery with multiple distal perfusion defects, suspicious for both thrombotic and secondary lesions. To prevent further embolisms, the patient was scheduled for a second surgical procedure, which allowed a complete removal of the tumor from major branches of right pulmonary arteries. Our experience highlights that, despite of its intermediate malignancy, inflammatory myofibroblastic tumor may behave as an extremely dangerous condition, requiring multiple surgeries an integrated and multidisciplinary approach.
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Affiliation(s)
- Matteo Ponzoni
- Pediatric and Congenital Cardiac Surgery Unit, Department of Cardiac, Thoracic and Vascular Sciences, University of Padova, Padova, Italy.
| | - Elena Reffo
- Department of Woman's and Child's Health, University of Padova, Padova, Italy
| | - Cristina Basso
- Cardiovascular Pathology Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Padova, Italy
| | - Stefania Rizzo
- Cardiovascular Pathology Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padova, Padova, Italy
| | - Massimo A Padalino
- Pediatric and Congenital Cardiac Surgery Unit, Department of Cardiac, Thoracic and Vascular Sciences, University of Padova, Padova, Italy
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9
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Shah SB, Pandey S, Kumar A, Dutta A, Sood J. Anesthesia Considerations in Combined Open Heart Cardiac Myofibroblastic Tumor Excision and Living Donor Liver Transplantation. J Cardiothorac Vasc Anesth 2019; 34:1010-1014. [PMID: 31791855 DOI: 10.1053/j.jvca.2019.10.040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2019] [Revised: 10/18/2019] [Accepted: 10/24/2019] [Indexed: 11/11/2022]
Affiliation(s)
| | - Shashank Pandey
- Department of Anaesthesiology, Sir Ganga Ram Hospital, New Delhi, India
| | - Akhil Kumar
- Department of Anaesthesiology, Sir Ganga Ram Hospital, New Delhi, India.
| | - Amitabh Dutta
- Department of Anaesthesiology, Sir Ganga Ram Hospital, New Delhi, India
| | - Jayashree Sood
- Department of Anaesthesiology, Sir Ganga Ram Hospital, New Delhi, India
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10
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Abstract
RATIONALE Cardiac inflammatory myofibroblastic tumor (IMT) is a rare primary cardiac tumor which is currently considered as a low-grade neoplasm. The tumor has a predilection in infants and adolescents and primarily occurs as an endocardial-based cavitary mass. However, cardiac IMT that only involves the interventricular septum in middle-aged adults is extremely rarely reported. Considering its infrequency, we report a rare clinical case, with the aim of sharing our experience during the diagnostic procedures. PATIENT CONCERNS A 45-year-old, previously healthy female, with no medical history was admitted to the outpatient clinic due to the identification of an abnormal radiographic finding during a routine health examination. DIAGNOSIS Transthoracic echocardiography (TTE) revealed a 3.5 cm × 4.0 cm × 4.5 cm heterogeneous mass in the interventricular septum. Color Doppler echocardiography detected sparse blood flow signals inside the mass. Magnetic resonance imaging (MRI) confirmed a hyperintense T2-weighted, isointense T1-weighted mass. Three-dimensional (3D) TTE demonstrated a spherical mass in the middle part of the interventricular septum. Postoperative histopathological examinations revealed a mesenchymal tumor composed of scattered spindle myofibroblasts with a myxoid atypia, associated with infiltration of lymphocytes and plasma cells. INTERVENTIONS Complete tumor resection was successfully performed via median sternotomy under general anesthesia. OUTCOMES After surgery, the patient recovered successfully. The patient was in good general health without any clinical symptoms. The echocardiographic examination at the 12-month follow-up period revealed normal function of the heart, and there was no evidence of tumor recurrence. LESSONS To our knowledge, cardiac IMT only the involving interventricular septum in a middle-aged adult has never been previously reported before. Echocardiography plays a critical role in establishing the primary diagnosis of cardiac IMT and evaluating regular follow-up examinations. Complete surgical resection of the mass is considered the first-line treatment despite the absence of symptoms.
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Affiliation(s)
- Ming-dan Deng
- Department of Cardiology, West China Hospital, Sichuan University
| | - Jun-yang Han
- Department of Cardiovascular Surgery, West China, Hospital of Sichuan University, Guoxue Xiang 37, Chengdu, Sichuan, PR China
| | - Ke Lin
- Department of Cardiovascular Surgery, West China, Hospital of Sichuan University, Guoxue Xiang 37, Chengdu, Sichuan, PR China
| | - Hong Tang
- Department of Cardiology, West China Hospital, Sichuan University
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11
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Georgiopoulos G, Thomas K, Vaina S, Tsiachris D, Alexopoulos N, Tousoulis D, Vassilopoulos D. Recurrent ventricular arrhythmia in a patient with aortitis and myocardial inflammation due to possible immunoglobulin G4-related disease. Intern Med J 2018; 48:598-601. [PMID: 29722185 DOI: 10.1111/imj.13778] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2017] [Revised: 11/18/2017] [Accepted: 11/19/2017] [Indexed: 12/24/2022]
Affiliation(s)
- Georgios Georgiopoulos
- Department of Cardiology, National and Kapodistrian University of Athens Medical School, Hippokration General Hospital, Athens, Greece
| | - Konstantinos Thomas
- Department of Medicine and Laboratory, Clinical Immunology-Rheumatology Unit, National and Kapodistrian University of Athens Medical School, Hippokration General Hospital, Athens, Greece
| | - Sofia Vaina
- Department of Cardiology, National and Kapodistrian University of Athens Medical School, Hippokration General Hospital, Athens, Greece
| | - Dimitrios Tsiachris
- Department of Cardiology, National and Kapodistrian University of Athens Medical School, Hippokration General Hospital, Athens, Greece
| | - Nikolaos Alexopoulos
- Department of Cardiology, National and Kapodistrian University of Athens Medical School, Hippokration General Hospital, Athens, Greece
| | - Dimitris Tousoulis
- Department of Cardiology, National and Kapodistrian University of Athens Medical School, Hippokration General Hospital, Athens, Greece
| | - Dimitrios Vassilopoulos
- Department of Medicine and Laboratory, Clinical Immunology-Rheumatology Unit, National and Kapodistrian University of Athens Medical School, Hippokration General Hospital, Athens, Greece
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12
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Nguyen J, Sethi S, Ahmed H, Prasad A. Myocardial Infarction Secondary to Inflammatory Myofibroblastic Tumor Obstruction of the Left Main: Treated With Primary PCI. Res Cardiovasc Med 2016; 5:e32619. [PMID: 27800457 PMCID: PMC5076383 DOI: 10.5812/cardiovascmed.32619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2015] [Accepted: 09/05/2015] [Indexed: 11/16/2022] Open
Abstract
Introduction Cardiac inflammatory myofibroblastic tumor is a rare tumor that can cause potentially fatal outcomes. Case Presentation We describe a case where the tumor originated on the mitral valve and extended through the left ventricular outflow tract and aortic valve and into the left main artery obstructing it. Due to the hemodynamic instability of the patient, we proceeded for cardiac catheterization with the intention to aspirate the mass but were forced to do percutaneous intervention to stabilize the patient and bridge him to surgery. Conclusions The patient underwent surgery several days later with complete resection of the tumor and coronary stent retrieval but his left ventricular ejection fraction remained poor after several months and he was referred for cardiac transplantation.
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Affiliation(s)
- James Nguyen
- Bradenton Cardiology Center, University of Texas Health Science Center, San Antonio, United States
| | - Salil Sethi
- Bradenton Cardiology Center, University of Texas Health Science Center, San Antonio, United States
| | - Hinan Ahmed
- Bradenton Cardiology Center, University of Texas Health Science Center, San Antonio, United States
| | - Anand Prasad
- Bradenton Cardiology Center, University of Texas Health Science Center, San Antonio, United States
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Pang R, Merritt NH, Shkrum MJ, Tijssen JA. Febrile Illness in an Infant With an Intracardiac Inflammatory Myofibroblastic Tumor. Pediatrics 2016; 137:e20143544. [PMID: 26798044 DOI: 10.1542/peds.2014-3544] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/14/2015] [Indexed: 12/12/2022] Open
Abstract
We report a case of a child with a right ventricular inflammatory myofibroblastic tumor (IMT) who presented with fever, viral symptoms, and abdominal discomfort. Including this case, 49 intracardiac tumors have been previously reported in all age groups. The majority of intracardiac IMTs occur in pediatric patients, with approximately half presenting in children aged <12 months. Intracardiac IMTs are generally described as benign tumors; however, depending on their location, the initial presentation may involve heart failure or sudden death.(1) In addition to cardiac signs and symptoms, the clinical presentation of IMTs may also include constitutional signs such as fever, anemia, and elevated inflammatory markers. This case report reviews the diagnosis and management of IMTs, as well as the histopathologic features of this rare tumor type. Clinicians should be aware of their clinical presentation because early diagnosis and treatment can significantly reduce morbidity and mortality.
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Affiliation(s)
- Renée Pang
- Department of Pediatrics, Children's Hospital, London Health Sciences Centre, London, Ontario, Canada; and University of Western Ontario, London, Ontario, Canada
| | - Neil H Merritt
- Department of Pediatrics, Children's Hospital, London Health Sciences Centre, London, Ontario, Canada; and University of Western Ontario, London, Ontario, Canada
| | - Michael J Shkrum
- University of Western Ontario, London, Ontario, Canada University Hospital, London Health Sciences Centre, London, Ontario, Canada; and
| | - Janice A Tijssen
- Department of Pediatrics, Children's Hospital, London Health Sciences Centre, London, Ontario, Canada; and University of Western Ontario, London, Ontario, Canada
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ZHANG TIAN, YUAN YAWEI, REN CHEN, DU SHASHA, CHEN JIARONG, SUN QUANQUAN, LIU ZHENGJUN. Recurrent inflammatory myofibroblastic tumor of the inguinal region: A case report and review of the literature. Oncol Lett 2015; 10:675-680. [PMID: 26622552 PMCID: PMC4509014 DOI: 10.3892/ol.2015.3297] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2014] [Accepted: 04/24/2015] [Indexed: 12/17/2022] Open
Abstract
Inflammatory myofibroblastic tumors (IMTs) of the inguinal region are exceptionally rare. The current study reported the case of a 49 year-old male patient with IMT, who presented with a fever, night sweats, anorexia, loss of weight and frequent urination. Computed tomography (CT) revealed a lesion occupying the soft tissue of the right inguinal region and surgery was performed to resect the lesion. Histopathological analysis of the lesion revealed a composition of spindle and inflammatory cells, including plasma cells and lymphocytes. In addition, immunohistochemical analysis demonstrated that the tumor cells were positive for CD34, vimentin, actin, Ki-67, B cell lymphoma-2, CD99, epithelial membrane antigen and CD38; however, tumor cells were negative for CD117, desmin, anaplastic lymphoma kinase and creatine kinase. Thus, the patient was diagnosed with IMT and was advised to return for regular follow-up appointments. Subsequently, the patient developed a local recurrence 12 months following the initial surgery. Of note, the histopathological characteristics of the recurrent lesions were consistent with those of the initial specimen. Thus, a second surgery was performed, followed by fractionated radiotherapy (FRT). At 3 and 6 months following the FRT, magnetic resonance imaging scans did not indicate tumor recurrence or metastasis. In conclusion, surgical excision is the current recommended treatment for IMT; however, for cases similar to that of the current study, which are not successfully controlled by surgical excision, radiotherapy should be considered and long-term follow-up is essential.
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Affiliation(s)
- TIAN ZHANG
- Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, P.R. China
- Department of Radiology, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin 300060, P.R. China
| | - YAWEI YUAN
- Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, P.R. China
| | - CHEN REN
- Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, P.R. China
| | - SHASHA DU
- Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, P.R. China
| | - JIARONG CHEN
- Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, P.R. China
| | - QUANQUAN SUN
- Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, P.R. China
| | - ZHENGJUN LIU
- Department of Vascular Surgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, P.R. China
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15
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Pan Y, Wu X, Liu J, Muheremu A. Abnormal liver function induced by myofibroblastic sarcoma infiltrating the liver: A case report. Oncol Lett 2014; 9:798-800. [PMID: 25621053 PMCID: PMC4301523 DOI: 10.3892/ol.2014.2740] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2014] [Accepted: 10/31/2014] [Indexed: 12/22/2022] Open
Abstract
Myofibroblastic sarcoma (MS) is a rare disease, which most frequently occurs in the head, neck and extremities. To the best of our knowledge, although a small number of studies have reported MS of the oral cavity, maxilla, tonsil, thyroid and tongue, MS of the liver and subsequent disabled liver function has not been previously reported. This study presents the case of a 38 year old female initially diagnosed and treated for a mass in the retroperitoneal region, who was subsequently diagnosed with MS of the liver three months following preliminary surgical treatment. The patient refused further treatment and was lost to follow-up three months after discharge from the hospital. Clinical, biochemical and imaging observations, as well as pathological manifestations of the patient in the present case are discussed with the aim of increasing the knowledge of MS of the liver.
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Affiliation(s)
- Ye Pan
- Department of Infectious Diseases, The First Affiliated Hospital of Xiamen University, Xiamen 361003, P.R. China
| | - Xiaolu Wu
- Department of Infectious Diseases, The First Affiliated Hospital of Xiamen University, Xiamen 361003, P.R. China
| | - Jiajun Liu
- Department of Infectious Diseases, The First Affiliated Hospital of Xiamen University, Xiamen 361003, P.R. China
| | - Aikeremujiang Muheremu
- Department of Orthopaedic Oncology Surgery, Beijing Ji Shui Tan Hospital, Beijing 100035, P.R. China
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16
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Eilers AL, Nazarullah AN, Shipper ES, Jagirdar JS, Calhoon JH, Husain SA. Cardiac Inflammatory Myofibroblastic Tumor. World J Pediatr Congenit Heart Surg 2014; 5:556-64. [DOI: 10.1177/2150135114546203] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Although inflammatory myofibroblastic tumors (IMTs) can be found in virtually every major organ, cardiac origin is rare. After recently providing care to a child who presented with a significant myocardial infarction, interest in this rare tumor was piqued. We describe a comprehensive review of cardiac IMT, including information on nomenclature, epidemiology, clinical features, pathogenesis, gross/histological features, immunohistochemical profile, diagnosis, treatment, and prognosis. Fifty-seven cases were identified in the literature. Interestingly, our case represents the seventh case of coronary artery involvement reported. Moreover, it was found that an initial presentation of sudden death most commonly involves the coronary arteries.
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Affiliation(s)
- Amanda L. Eilers
- Department of Cardiothoracic Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
| | - Alia N. Nazarullah
- Department of Pathology, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
| | - Edward S. Shipper
- Department of Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
| | - Jaishree S. Jagirdar
- Department of Pathology, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
| | - John H. Calhoon
- Department of Cardiothoracic Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
| | - S. Adil Husain
- Department of Cardiothoracic Surgery, University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
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Tao TY, Yahyavi-Firouz-Abadi N, Singh GK, Bhalla S. Pediatric Cardiac Tumors: Clinical and Imaging Features. Radiographics 2014; 34:1031-46. [DOI: 10.1148/rg.344135163] [Citation(s) in RCA: 65] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
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18
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Xu B, Fraser RS, Renaud C, Youssef S, Gottesman RD, Bernard C. Inflammatory myofibroblastic tumor of the aortic valves causing sudden cardiac death: a case report and review of the literature. Pediatr Dev Pathol 2014; 17:231-9. [PMID: 24649800 DOI: 10.2350/13-12-1414-cr.1] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Cardiac inflammatory myofibroblastic tumor (IMT) is a rare entity affecting predominantly infants, children, and young adults. Although most tumors have a benign clinical course after complete surgical resection, some have significant clinical effects. We report the case of a 9-year-old girl who had sudden cardiac death as a result of occlusion of the left circumflex coronary artery. A review of 57 cases of cardiac IMTs reported in the literature in terms of epidemiology, clinical presentation, histologic and immunohistologic features, and outcome is presented. Recognition of this rare abnormality is important in order to initiate prompt surgical intervention.
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Affiliation(s)
- Bin Xu
- 1 Department of Pathology, Montreal Children's Hospital, McGill University Health Centre, Montreal, QC H3H 1P3, Canada
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19
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Zhou R, Xiang J, Chen Z, Li Z, Hong J. Fever of unknown origin as a presentation of colonic inflammatory myofibroblastic tumor in a 36-year-old female: A case report. Oncol Lett 2014; 7:1566-1568. [PMID: 24765177 PMCID: PMC3997664 DOI: 10.3892/ol.2014.1942] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2013] [Accepted: 01/23/2014] [Indexed: 01/21/2023] Open
Abstract
Inflammatory myofibroblastic tumor is a rare type of lesion that mimics malignancy and has various clinical manifestations. The current study presents a 36-year-old female with a colonic mass, which closely resembled a stromal tumor during imaging. The patient experienced intermittent fever and slight abdominal pain for one month. The fever remained at ≤38.5°C until the day of surgery. The patient underwent a right hemicolectomy and the preoperative fever disappeared and did not recur until the patient was discharged.
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Affiliation(s)
- Ru Zhou
- Department of General Surgery, Huashan Hospital, Fudan University, Shanghai 200040, P.R. China
| | - Jianbin Xiang
- Department of General Surgery, Huashan Hospital, Fudan University, Shanghai 200040, P.R. China
| | - Zongyou Chen
- Department of General Surgery, Huashan Hospital, Fudan University, Shanghai 200040, P.R. China
| | - Zhenyang Li
- Department of General Surgery, Huashan Hospital, Fudan University, Shanghai 200040, P.R. China
| | - Jun Hong
- Department of General Surgery, Huashan Hospital, Fudan University, Shanghai 200040, P.R. China
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20
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Kouzu H, Miki T, Mizuno M, Kimura Y, Muranaka A, Yuda S, Keira Y, Hasegawa T, Miyaki Y, Takagi N, Higami T, Miura T. Inflammatory Myofibroblastic Tumor of the Heart. Circ J 2014; 78:1006-8. [DOI: 10.1253/circj.cj-13-1291] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Hidemichi Kouzu
- Department of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine
| | - Takayuki Miki
- Department of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine
| | - Masashi Mizuno
- Department of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine
| | - Yukishige Kimura
- Department of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine
| | - Atsuko Muranaka
- Department of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine
| | - Satoshi Yuda
- Department of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine
- Department of Clinical Laboratory Medicine, Sapporo Medical University School of Medicine
| | - Yoshiko Keira
- Department of Surgical Pathology, Sapporo Medical University School of Medicine
| | - Tadashi Hasegawa
- Department of Surgical Pathology, Sapporo Medical University School of Medicine
| | - Yasuko Miyaki
- Department of Cardiovascular Surgery, Sapporo Medical University School of Medicine
| | - Nobuyuki Takagi
- Department of Cardiovascular Surgery, Sapporo Medical University School of Medicine
| | - Tetsuya Higami
- Department of Cardiovascular Surgery, Sapporo Medical University School of Medicine
| | - Tetsuji Miura
- Department of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine
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Abstract
Tumours originating from cardiac tissues are rarely encountered during childhood, and fortunately most of these tumours are benign in nature. Inflammatory myofibroblastic tumour, which has unique clinical, pathological, and molecular characteristics, is a relatively new entity compared with previously mentioned tumoural processes originating from the heart. Most of the cardiac intima-media thickness patients are in the age group of 4 months to 17 years. This rarely seen tumoural process has not been subject of any specific research and the prognosis is not well known. Here we present the case of a 3-month-old child who was admitted to our outpatient clinic with massive pericardial effusion and who has shown excellent progress after surgical resection of over 1 year.
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22
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Yamauchi H, Satoh H, Yamashita T, Shinshi Y, Kikuchi K, Sasaki S, Matsui Y. Immunoglobulin G4-Related Disease of the Heart Causing Aortic Regurgitation and Heart Block. Ann Thorac Surg 2013; 95:e151-3. [DOI: 10.1016/j.athoracsur.2012.11.057] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/29/2012] [Revised: 11/08/2012] [Accepted: 11/16/2012] [Indexed: 11/27/2022]
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