Inflammatory myofibroblastic tumor (inflammatory pseudotumor) of the neck infiltrating the trachea.
Inflammatory myofibroblastic tumor (IMT), popularly known as inflammatory pseudotumor, is a slow growing quasi-neoplastic lesion with a distinct histologic appearance and benign clinical course. A case of a neck IMT with infiltration into the trachea causing asthmalike symptoms in a 12-year-old girl is described. Both tracheal and neck IMT have been described, but no other case has displayed this infiltration. A review of the pertinent literature and the etiology, diagnosis, treatment, and outcomes of this tumor are discussed. It is important to consider IMT in a differential diagnosis because it can be easily misdiagnosed as a malignancy. A surgeon must not perform radical surgery, radiation, or chemotherapy until a final pathologic diagnosis is made because of the nature of this lesion.
Department of Surgery, Children's Memorial Hospital, Chicago, IL 60614, USA.
Marybeth
M
Browne
Lisa P
LP
Abramson
Pauline M
PM
Chou
Robert
R
Acton
Lauren D
LD
Holinger
Marleta
M
Reynolds
D001249:Asthma / Q000209:etiology; D001999:Bronchoscopy; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006104:Granuloma, Plasma Cell / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D006258:Head and Neck Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D009361:Neoplasm Invasiveness; D016609:Neoplasms, Second Primary / Q000175:diagnosis / Q000601:surgery*; D011379:Prognosis; D014057:Tomography, X-Ray Computed; D014134:Tracheal Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*