"Atypical Steroid Response" in a Pulmonary Inflammatory Myofibroblastic Tumor

被引:8
作者
Sacco, Oliviero [1 ]
Gambini, Claudio [2 ]
Gardella, Chiara [1 ]
Toma, Paolo [3 ]
Rossi, Umberto G. [4 ]
Jasonni, Vincenzo [5 ]
Bush, Andrew [6 ]
Rossi, Giovanni A. [1 ]
机构
[1] Giannina Gaslini Res Inst, Pediat Pulm & Allergol Unit, Genoa, Italy
[2] Giannina Gaslini Res Inst, Pathol Unit, Genoa, Italy
[3] Giannina Gaslini Res Inst, Radiol Unit, Genoa, Italy
[4] San Martino Univ Hosp, Dept Diagnost & Intervent Radiol, Genoa, Italy
[5] Giannina Gaslini Res Inst, Pediat Surg Unit, Genoa, Italy
[6] Royal Brompton Hosp, Dept Paediat Respirol, London SW3 6LY, England
关键词
inflammatory myofibroblastic tumor; plasma cell granuloma; atelectasis; mediastinal mass; PLASMA-CELL GRANULOMA; SOFT-TISSUE; PSEUDOTUMOR; LUNG; CHILDREN; PROGNOSIS; EXPRESSION; DIAGNOSIS; SARCOMA; ALK1;
D O I
10.1002/ppul.21237
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
A 6-year-old girl was evaluated for the presence of a paratracheal mass with right upper lobe atelectasis due to an endobronchial mass. Bronchoscopic biopsy established a diagnosis of inflammatory myofibroblastic tumor (IMT) and prednisone initially led to a significant reduction of the endobronchial lesion. However, 8 weeks later, when still on prednisone, the mediastinal mass enlarged dramatically. At thoracotomy, a well-circumscribed, multilobulated mass was partially resected and a diagnosis of IMT confirmed. Immunosuppression by corticosteroids may have favored the rapid progression of this apparently benign, indolent tumor. Pediatr Pulmonol. 2010; 45:721-726. (C) 2010 Wiley-Liss, Inc.
引用
收藏
页码:721 / 726
页数:6
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