Inflammatory myofibroblastic tumor involving the pterygopalatine fossa.
Inflammatory myofibroblastic tumors (IMT) comprise a rare group of lesions characterized histologically by acute and chronic inflammatory cells with a variable degree of fibrous stroma. Occurrence in the extracranial head and neck in children is unusual, and involvement in the pterygopalatine fossa has not, to our knowledge, been reported as occurring in this age group. We present the CT findings of an IMT of the pterygopalatine fossa in a 6-year-old female patient with a 2-week history of fever and a painless swelling of the left cheek. The diagnosis of IMT should be included in the differential diagnosis of a child presenting with an aggressive mass associated with systemic features such as fever, elevated sedimentation rate, and leukocytosis.
Ribeiro
A C
AC
Departments of Radiology, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA.
Joshi
V M
VM
Funkhouser
W K
WK
Mukherji
S K
SK
D002648:Child; D005153:Facial Neoplasms / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008437:Maxilla / Q000000981:diagnostic imaging*; D009379:Neoplasms, Muscle Tissue / Q000000981:diagnostic imaging*; D012888:Skull Neoplasms / Q000000981:diagnostic imaging*; D013100:Sphenoid Bone / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed