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A case of an inflammatory myofibroblastic tumor in the lung which expressed TPM3–ALK gene fusion

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Abstract

We herein describe a 4-year-old boy who after being treated for pneumonia showed an abnormal shadow at the hilus of the right lung on chest X-rays with continued inflammatory findings in his laboratory data. CT and MR investigations suggested the existence of a neoplasm at that site. An open biopsy was thus performed for a definite diagnosis. The histological findings and the expression of TPM3–ALK fusion gene confirmed a diagnosis of an inflammatory myofibroblastic tumor. A right upper and middle lobectomy including the tumor was thus performed for a complete resection. In addition to the histological diagnosis, the detection of the tumor specific fusion gene provided objective evidence in making a diagnosis.

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References

  1. Pettinato G, Manivel JC, De Rose N et al (1990) Inflammatory myofibroblastic tumor (plasma cell granuloma): clinicopathologic study of 20 cases with immunohistochemical and ultrastructual observations. Am J Clin Pathol 94:538–546

    PubMed  CAS  Google Scholar 

  2. Souid AK, Ziemba MC, Dubansky AS et al (1993) Inflammatory myofibroblastic tumor in children. Cancer 72:2042–2048

    Article  PubMed  CAS  Google Scholar 

  3. Brunn H (1939) Two interesting benign lung tumors of contradictory histopathology. Remarks on the necessity for maintaining the chest tumor registry. J Thorac Cardiovasc Surg 9:119–131

    Google Scholar 

  4. Umiker WO, Iverson L (1954) Postinflammatory “tumors” of the lung. Report of four cases simulating xanthoma, fibroma, or plasma cell granuloma. J Thorac Cardiovasc Surg 28:55–63

    CAS  Google Scholar 

  5. Coffin CM, Dehner LP, Meis-Kindblom JM et al (1998) Inflammatory myofibroblastic tumor, inflammatory fibrosarcoma, and related lesions: an historical review with differential diagnostic considerations. Semin Diagn Pathol 15:102–110

    PubMed  CAS  Google Scholar 

  6. Coffin CM, Watterson J, Priest JR et al (1995) Extrapulmonary inflammatory myofibroblastic tumor (inflammatory pseudotumor). A clinicopathologic and immunohistochemical study of 84 cases. Am J Surg Pathol 19:859–872

    Article  PubMed  CAS  Google Scholar 

  7. Cerfolio RJ, Allen MS, Nascimento AG et al (1999) Inflammatory pseudotumors of the lung. Ann Thorac Surg 67:933–936

    Article  PubMed  CAS  Google Scholar 

  8. Bahadori M, Liebow AA (1973) Plasma cell granulomas of the lung. Cancer 31:191–208

    Article  PubMed  CAS  Google Scholar 

  9. Hartman GE, Shochat SJ (1983) Primary pulmonary neoplasm of childhood: a review. Ann Thorac Surg 36:108–119

    Article  PubMed  CAS  Google Scholar 

  10. Warter A, Satge D, Roeslin N (1987) Angioinvasive plasma cell granulomas of the lung. Cancer 59:435–443

    Article  PubMed  CAS  Google Scholar 

  11. Imperato JP, Folkman J, Sagerman RH et al (1986) Treatment of plasma cell granulomas with radiation therapy: a report of two cases and a review of the literature. Cancer 39:123–125

    Google Scholar 

  12. Tang TT, Segura AD, Oechler HW et al (1990) Inflammatory myofibrohistiocytic proliferation simulating sarcoma in children. Cancer 65:1626–1634

    Article  PubMed  CAS  Google Scholar 

  13. Applebaum H, Kieran MW, Timothy PC et al (2005) The rationale for nonsteroidal anti-inflammatory drug therapy for inflammatory myofibroblastic tumors: a Children’s Oncology Group Study. J Pediatr Surg 40:999–1003

    Article  PubMed  Google Scholar 

  14. Doski JJ, Priebe CJ Jr, Driessnack M et al (1991) Corticosteroids in the management of unresected plasma cell granuloma (inflammatory pseudotumor) of the lung. J Pediatr Surg 26:1064–1066

    Article  PubMed  CAS  Google Scholar 

  15. Lawrence B, Perez-Atayde A, Hibbard MK et al (2000) TPM3–ALK and TPM4–ALK oncogene in inflammatory myofibroblastic tumors. Am J Pathol 157:377–384

    PubMed  CAS  Google Scholar 

  16. Cools J, Wlodarska I, Somers R et al (2000) Identification of novel fusion partners of ALK, the anaplastic large-cell lymphoma and inflammatory myofibroblastic tumor. Genes Chromosomes 34:354–362

    Article  CAS  Google Scholar 

  17. Debiec-Rychter M, Marynen P, Hagemeijer A et al (2003) ALK–ATIC fusion in urinary bladder inflammatory myofibroblastic tumor. Genes Chromosomes Cancer 38:187–190

    Article  PubMed  Google Scholar 

  18. Ma Z, Hill DA, Collins MH et al (2003) Fusion of ALK to the Ran-binding protein 2 (RANBP 2) gene in inflammatory myofibroblastic tumor. Genes Chromosomes Cancer 37:98–105

    Article  PubMed  CAS  Google Scholar 

  19. Bridge JA, Kanamori M, Ma Z et al (2001) Fusion of the ALK gene to the clathrin heavy chain gene, CLTC, in inflammatory myofibroblastic tumor. Am J Pathol 159:411–415

    PubMed  CAS  Google Scholar 

  20. Hisaoka M, Shimajiri S, Matsuki Y et al (2003) Inflammatory myofibroblastic tumor with predominant anaplastic lymphoma kinase-positive cell lacking a myofibroblastic phenotype. Pathol Int 53:376–381

    Article  PubMed  Google Scholar 

  21. Biselli R, Ferlini C, Fattorossi A et al (1996) Inflammatory myofibroblastic tumor (inflammatory pseudotumor): DNA flow cytometric analysis of nine pediatric cases. Cancer 77:778–784

    Article  PubMed  CAS  Google Scholar 

  22. Yamamoto H, Oda Y, Saito T et al (2003) p53 mutation and MDM2 amplification in inflammatory myofibroblastic tumors. Histopathology 42:431–439

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Y. Kinoshita.

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Kinoshita, Y., Tajiri, T., Ieiri, S. et al. A case of an inflammatory myofibroblastic tumor in the lung which expressed TPM3–ALK gene fusion. Pediatr Surg Int 23, 595–599 (2007). https://doi.org/10.1007/s00383-006-1821-6

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  • DOI: https://doi.org/10.1007/s00383-006-1821-6

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