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Inflammatory myofibroblastic tumor

MedGen UID:
137723
Concept ID:
C0334121
Neoplastic Process
Synonyms: Inflammatory fibrosarcoma; Inflammatory pseudotumor
SNOMED CT: Myofibroblastic tumor (116064009); Inflammatory myofibroblastic tumor (116064009); Inflammatory myofibroblastic tumor (771233008); Inflammatory pseudotumor (35073002)
 
Monarch Initiative: MONDO:0015798
Orphanet: ORPHA178342

Definition

A rare neoplastic lesion of the submucosal stroma, which can develop in any organ, often occurring in the lung, mesentery, omentum and the retroperitoneal region. It is histologically heterogenous, composed of spindle-shaped cells, myofibroblasts and inflammatory cells. It is usually benign, however local invasion, recurrence, malignant transformation with vascular invasion and metastases may occur. The presentation is nonspecific and depends on the organ involved. Some patients may present with paraneoplastic syndrome (fever, malaise, weight loss, thrombocytosis) or symptoms related to compression of adjacent organs, such as bowel obstruction. [from SNOMEDCT_US]

Professional guidelines

PubMed

Carrasco Rodríguez R, García Fontán EM, Blanco Ramos M, Magdalena Benavides LJ, Otero Lozano D, Moldes Rodriguez M, Cañizares Carretero MA
Cir Esp (Engl Ed) 2022 Jun;100(6):329-335. Epub 2022 May 13 doi: 10.1016/j.cireng.2022.05.012. PMID: 35577280
Fuchs J, Warmann SW, Urla C, Schäfer JF, Schmidt A
Semin Pediatr Surg 2020 Aug;29(4):150941. Epub 2020 Jul 24 doi: 10.1016/j.sempedsurg.2020.150941. PMID: 32861445
Luk PP, Selinger CI, Cooper WA, Mahar A, Palme CE, O'Toole SA, Clark JR, Gupta R
Head Neck Pathol 2019 Sep;13(3):397-414. Epub 2018 Nov 22 doi: 10.1007/s12105-018-0988-1. PMID: 30467669Free PMC Article

Curated

NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®), Soft Tissue Sarcoma, 2024

Recent clinical studies

Etiology

Schoot RA, Orbach D, Minard Colin V, Alaggio R, Di Carlo D, Corradini N, Mercolini F, Milano GM, van Noesel MM, Rome A, Dall'Igna P, Pajtler K, Sparber-Sauer M, Ferrari A, Casanova M
JCO Precis Oncol 2023 Sep;7:e2300323. doi: 10.1200/PO.23.00323. PMID: 37856763
Nakano K
Jpn J Clin Oncol 2023 Oct 4;53(10):885-892. doi: 10.1093/jjco/hyad074. PMID: 37394916
Carrasco Rodríguez R, García Fontán EM, Blanco Ramos M, Magdalena Benavides LJ, Otero Lozano D, Moldes Rodriguez M, Cañizares Carretero MA
Cir Esp (Engl Ed) 2022 Jun;100(6):329-335. Epub 2022 May 13 doi: 10.1016/j.cireng.2022.05.012. PMID: 35577280
Shi P, Zhang L, Shi H, Wu Y
Oncol Res Treat 2022;45(6):353-365. Epub 2022 Apr 11 doi: 10.1159/000524489. PMID: 35405683Free PMC Article
Shukla PS, Mittal K
Arch Pathol Lab Med 2019 Jan;143(1):122-129. Epub 2018 Jul 2 doi: 10.5858/arpa.2017-0575-RA. PMID: 29965784

Diagnosis

Wang D, Misdraji J
Surg Pathol Clin 2023 Sep;16(3):565-580. Epub 2023 May 31 doi: 10.1016/j.path.2023.04.010. PMID: 37536889
Karpathiou G, Devouassoux-Shisheboran M, Stolnicu S, Chauleur C, Péoc'h M
Pathol Res Pract 2023 Feb;242:154335. Epub 2023 Jan 23 doi: 10.1016/j.prp.2023.154335. PMID: 36706588
Kertowidjojo EC, Bennett JA
Surg Pathol Clin 2022 Jun;15(2):315-340. Epub 2022 May 20 doi: 10.1016/j.path.2022.02.008. PMID: 35715164
Barata F, Marques D, Figueiredo A
Rev Port Cir Cardiotorac Vasc 2020 Apr-Jun;27(2):79-80. PMID: 32707612
Miller DV, Tazelaar HD
Arch Pathol Lab Med 2010 Mar;134(3):362-8. doi: 10.5858/134.3.362. PMID: 20196664

Therapy

Wang QA, Chen HW, Wu RC, Wu CE
Curr Treat Options Oncol 2023 Dec;24(12):1683-1702. Epub 2023 Nov 8 doi: 10.1007/s11864-023-01144-6. PMID: 37938503Free PMC Article
Schoot RA, Orbach D, Minard Colin V, Alaggio R, Di Carlo D, Corradini N, Mercolini F, Milano GM, van Noesel MM, Rome A, Dall'Igna P, Pajtler K, Sparber-Sauer M, Ferrari A, Casanova M
JCO Precis Oncol 2023 Sep;7:e2300323. doi: 10.1200/PO.23.00323. PMID: 37856763
Mahajan P, Casanova M, Ferrari A, Fordham A, Trahair T, Venkatramani R
Curr Probl Cancer 2021 Aug;45(4):100768. Epub 2021 Jul 1 doi: 10.1016/j.currproblcancer.2021.100768. PMID: 34244015
Theilen TM, Soerensen J, Bochennek K, Becker M, Schwabe D, Rolle U, Klingebiel T, Lehrnbecher T
Pediatr Blood Cancer 2018 Apr;65(4) Epub 2017 Dec 29 doi: 10.1002/pbc.26920. PMID: 29286567
Minoo P, Wang HY
Int J Clin Exp Pathol 2012;5(5):397-410. Epub 2012 May 23 PMID: 22808292Free PMC Article

Prognosis

Schoot RA, Orbach D, Minard Colin V, Alaggio R, Di Carlo D, Corradini N, Mercolini F, Milano GM, van Noesel MM, Rome A, Dall'Igna P, Pajtler K, Sparber-Sauer M, Ferrari A, Casanova M
JCO Precis Oncol 2023 Sep;7:e2300323. doi: 10.1200/PO.23.00323. PMID: 37856763
Zhang Y, Liu J
Front Endocrinol (Lausanne) 2023;14:1156117. Epub 2023 May 15 doi: 10.3389/fendo.2023.1156117. PMID: 37255972Free PMC Article
Karpathiou G, Devouassoux-Shisheboran M, Stolnicu S, Chauleur C, Péoc'h M
Pathol Res Pract 2023 Feb;242:154335. Epub 2023 Jan 23 doi: 10.1016/j.prp.2023.154335. PMID: 36706588
Wang GY, Lucas DR
Arch Pathol Lab Med 2018 Oct;142(10):1159-1163. doi: 10.5858/arpa.2018-0205-RA. PMID: 30281365
Khatri A, Agrawal A, Sikachi RR, Mehta D, Sahni S, Meena N
Adv Respir Med 2018;86(1):27-35. doi: 10.5603/ARM.2018.0007. PMID: 29490419

Clinical prediction guides

Ladwig NR, Bean GR, Pekmezci M, Boscardin J, Joseph NM, Therrien N, Sangoi AR, Piening B, Rajamanickam V, Galvin M, Bernard B, Zaloudek C, Rabban JT, Garg K, Umetsu SE
Am J Surg Pathol 2023 Feb 1;47(2):157-171. Epub 2022 Nov 7 doi: 10.1097/PAS.0000000000001987. PMID: 36344483
Rich BS, Fishbein J, Lautz T, Rubalcava NS, Kartal T, Newman E, Wok PE, Romao RLP, Whitlock R, Naik-Mathuria B, Polites SF, Løfberg K, Lascano D, Kim E, Davidson J, Bütter A, Kastenberg ZJ, Short SS, Meyers RL, Mastropolo R, Malek MM, Weller J, Irfan A, Rhee DS, Utria AF, Rothstein DH, Riehle K, Commander SJ, Tracy E, Becktell K, Hallis B, Lal D, Li O, Dal-Soglio DB, Piché N, Quevedo OG, Murphy AJ, Davidoff AM, Barber JC, Watters E, Dasgupta R, Glick RD
Int J Cancer 2022 Oct 1;151(7):1059-1067. Epub 2022 Jun 15 doi: 10.1002/ijc.34132. PMID: 35604778
Krings G, McIntire P, Shin SJ
Semin Diagn Pathol 2017 Sep;34(5):427-437. Epub 2017 May 28 doi: 10.1053/j.semdp.2017.05.010. PMID: 28751104
Ong HS, Ji T, Zhang CP, Li J, Wang LZ, Li RR, Sun J, Ma CY
Oral Oncol 2012 Feb;48(2):141-8. Epub 2011 Oct 19 doi: 10.1016/j.oraloncology.2011.09.004. PMID: 22014665
Miller DV, Tazelaar HD
Arch Pathol Lab Med 2010 Mar;134(3):362-8. doi: 10.5858/134.3.362. PMID: 20196664

Recent systematic reviews

Chanthong S, Sathitsamitphong L, Natesirinilkul R, Charoenkwan P, Suwansirikul S, Choed-Amphai C
Childs Nerv Syst 2023 Feb;39(2):331-342. Epub 2022 Dec 14 doi: 10.1007/s00381-022-05789-w. PMID: 36515740
Craig E, Wiltsie LM, Beaupin LK, Baig A, Kozielski R, Rothstein DH, Li V, Twist CJ, Barth M
J Pediatr Surg 2021 Dec;56(12):2364-2371. Epub 2021 Feb 11 doi: 10.1016/j.jpedsurg.2021.02.004. PMID: 33676744
Spinazzi EF, Desai SV, Fang CH, Jyung RW, Liu JK, Baredes S, Eloy JA
Laryngoscope 2015 Nov;125(11):2593-600. Epub 2015 Apr 17 doi: 10.1002/lary.25308. PMID: 25892586
Jindal A, Bal A, Agarwal R
J Bronchology Interv Pulmonol 2015 Jan;22(1):58-65. doi: 10.1097/LBR.0000000000000105. PMID: 25590486
Desai SV, Spinazzi EF, Fang CH, Huang G, Tomovic S, Liu JK, Baredes S, Eloy JA
Laryngoscope 2015 Apr;125(4):813-21. Epub 2014 Nov 6 doi: 10.1002/lary.24993. PMID: 25376630

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.
    • Bookshelf
      See practice and clinical guidelines in NCBI Bookshelf. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Curated

    • NCCN, 2024
      NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®), Soft Tissue Sarcoma, 2024

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