Inflammatory myofibroblastic tumor of the hand: A case report
- Authors:
- Hui Lu
- Hui Shen
- Xiang‑Qian Shen
- Qiang Chen
- Shou‑Cheng Wu
- Ying Lv
View Affiliations
Affiliations: Department of Hand Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang 310003, P.R. China, Department of Neonatology, The Children's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang 310003, P.R. China
- Published online on: April 23, 2015 https://doi.org/10.3892/ol.2015.3141
-
Pages:
2548-2550
-
Copyright: © Lu
et al. This is an open access article distributed under the
terms of Creative
Commons Attribution License.
Metrics: Total
Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
This article is mentioned in:
Abstract
The present study reports the case of a 58-year-old male patient who repeatedly presented with hand ulcers that were diagnosed as cellulitis. Upon histological analysis, however, an inflammatory myofibroblastic tumor (IMT) was diagnosed. IMTs rarely occur in the hands. The involved tissue was removed with the tumor, with the exception of the tendons and cutaneous nerve. The involved tendon sheath and epineurium were carefully resected. After 2 years of follow‑up, the patient showed no signs of tumor recurrence and the hand function was good. IMTs in the hands are relatively rare, and are often easily misdiagnosed as infection. An early and correct diagnosis is the key to successful treatment. A biopsy is necessary following debridement of the infected lesion, particularly for recurrent infected lesions. The surgical approach should be conservative, in order to maintain maximum hand function.
View References
|
1
|
Gleason BC and Hornick JL: Inflammatory
myofibroblastic tumours: where are we now? J Clin Pathol.
61:428–437. 2008. View Article : Google Scholar : PubMed/NCBI
|
|
2
|
Cantera JE, Alfaro MP, Rafart DC, et al:
Inflammatory myofibroblastic tumours: a pictorial review. Insights
Imaging. 6:85–96. 2015. View Article : Google Scholar : PubMed/NCBI
|
|
3
|
Lui PC, Fan YS, Wong SS, et al:
Inflammatory pseudotumors of the central nervous system. Hum
Pathol. 40:1611–1617. 2009. View Article : Google Scholar : PubMed/NCBI
|
|
4
|
Rafeek N, Joseph LD, Rajendiran S and
Narayanan CD: Inflammatory myofibroblastic tumor of spermatic cord.
Int J Surg Case Rep. 3:618–621. 2012. View Article : Google Scholar : PubMed/NCBI
|
|
5
|
Coffin CM, Watterson J, Priest JR and
Dehner LP: Extrapulmonary inflammatory myofibroblastic tumor
(inflammatory pseudotumor). A clinicopathologic and
immunohistochemical study of 84 cases. Am J Surg Pathol.
19:859–872. 1995. View Article : Google Scholar : PubMed/NCBI
|
|
6
|
Chen WC, Jiang ZY, Zhou F, et al: A large
inflammatory myofibroblastic tumor involving both stomach and
spleen: A case report and review of the literature. Oncol Lett.
9:811–815. 2015.PubMed/NCBI
|
|
7
|
Cook JR, Dehner LP, Collins MH, et al:
Anaplastic lymphoma kinase (ALK) expression in the inflammatory
myofibroblastic tumor: a comparative immunohistochemical study. Am
J Surg Pathol. 25:1364–1371. 2001. View Article : Google Scholar : PubMed/NCBI
|
|
8
|
Katakwar A, Gedam BS, Mukewar S and Agasti
A: Primary gastric inflammatory myofibroblastic tumor in an
adult-case report with brief review. Indian J Surg Oncol. 5:66–70.
2014. View Article : Google Scholar : PubMed/NCBI
|
|
9
|
Coffin CM, Watterson J, Priest JR and
Dehner LP: Extrapulmonary inflammatory myofibroblastic tumor
(inflammatory pseudotumor). A clinicopathological and
immunohistochemical study of 84 cases. Am J Surg Pathol.
19:859–872. 1995. View Article : Google Scholar : PubMed/NCBI
|
|
10
|
Masciocchi C, Lanni G, Conti L, et al:
Soft-tissue inflammatory myofibroblastic tumors (IMTs) of the
limbs: potential and limits of diagnostic imaging. Skeletal Radiol.
41:643–649. 2012. View Article : Google Scholar : PubMed/NCBI
|
