Bilateral multiple inflammatory myofibroblastic tumors of the lung successfully treated with corticosteroids

Lung. 2011 Oct;189(5):433-5. doi: 10.1007/s00408-011-9314-3. Epub 2011 Aug 2.

Abstract

Inflammatory myofibroblastic tumor (IMT) is a rare tumorous lesion that presents as a solitary nodule. Complete surgical resection is the standard treatment. However, due to its rarity, the optimal therapeutic strategy for multiple IMTs has not been defined. A 32-year-old man was referred to our hospital for evaluation of multiple pulmonary nodules. On computed tomography (CT) scan of the chest, there were a 3.0 × 1.7 cm mass with heterogeneous enhancement in the left upper lobe and multiple small nodules bilaterally. We performed wedge resection of the mass, and histopathology revealed IMT. He was treated with oral corticosteroids. The clinical and radiologic responses were so excellent that a CT scan showed complete resolution 1 month after the initiation of corticosteroid therapy. These observations suggest that corticosteroids may be the way to treat bilateral multiple IMT of the lung.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Antineoplastic Agents / therapeutic use*
  • Combined Modality Therapy
  • Granuloma, Plasma Cell / diagnostic imaging
  • Granuloma, Plasma Cell / drug therapy*
  • Granuloma, Plasma Cell / pathology
  • Granuloma, Plasma Cell / surgery
  • Humans
  • Lung Neoplasms / diagnostic imaging
  • Lung Neoplasms / drug therapy*
  • Lung Neoplasms / pathology
  • Lung Neoplasms / surgery
  • Male
  • Multiple Pulmonary Nodules / diagnostic imaging
  • Multiple Pulmonary Nodules / drug therapy*
  • Multiple Pulmonary Nodules / pathology
  • Multiple Pulmonary Nodules / surgery
  • Neoplasms, Muscle Tissue / diagnostic imaging
  • Neoplasms, Muscle Tissue / drug therapy*
  • Neoplasms, Muscle Tissue / pathology
  • Neoplasms, Muscle Tissue / surgery
  • Prednisone / therapeutic use*
  • Tomography, X-Ray Computed
  • Treatment Outcome

Substances

  • Antineoplastic Agents
  • Prednisone