Complete resection of a huge hypervascular inflammatory myofibroblastic tumor in right hemithorax after embolization.
BACKGROUND
Inflammatory myofibroblastic tumor (IMT) is a rare and mostly benign tumor that has the possibility of malignant change.


METHODS
Radiological findings revealed a huge mass that filled most of the right hemithorax of a 17-monthold female infant. Tumor extirpation was stopped due to massive bleeding and limited exposure of the tumor. Embolization was conducted to obstruct the arteries feeding the mass. Complete resection was performed.


RESULTS
Histopathologic examination led to the diagnosis of IMT. Postoperative recovery was uneventful.


CONCLUSIONS
Hypervascularity of IMT should be considered. Preoperative embolization can be effective to reduce intraoperative blood loss and facilitate the surgical procedure.
Department of Anesthesiology and Pain Medicine, Hanyang University Hospital, 222-1 Wangsimni-ro, Seongdong gu, Seoul, 133-792, Republic of Korea.
Kyu-Nam
KN
Kim
Department of Anesthesiology and Pain Medicine, Hanyang University Hospital, 222-1 Wangsimni-ro, Seongdong gu, Seoul, 133-792, Republic of Korea. dongwkim@hanyang.ac.kr.
Dong-Won
DW
Kim
D004621:Embolization, Therapeutic / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008175:Lung Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D009361:Neoplasm Invasiveness / Q000473:pathology; D009367:Neoplasm Staging; D016726:Plasma Cell Granuloma, Pulmonary / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D011013:Pneumonectomy / Q000379:methods; D011300:Preoperative Care / Q000379:methods; D013902:Radiography, Thoracic / Q000379:methods; D035583:Rare Diseases; D018570:Risk Assessment; D013908:Thoracotomy / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods*; D016896:Treatment Outcome
embolization; granuloma; mediastinal neoplasms; plasma cell