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KMID : 0383820130750040165
Tuberculosis and Respiratory Diseases
2013 Volume.75 No. 4 p.165 ~ p.169
A Case of Recurrent Pulmonary Inflammatory Myofibroblastic Tumor with Aggressive Metastasis after Complete Resection
Moon Chae-Ho

Yoon Jong-Ho
Kang Geon-Wook
Lee Seong-Hyeon
Baek Jeong-Su
Kim Seo-Yun
Kim Hye-Ryoun
Kim Cheol-Hyeon
Abstract
An inflammatory myofibroblastic tumor (IMT) is a rare disease entity reported to arise in various organs. It is thought to be a neoplastic or reactive inflammatory condition, controversially. The treatment of choice for myofibroblastic tumor is surgery, and recurrence is known to be rare. The optimal treatment method is not well-known for patients ineligible for surgery. We report a 47-year-old patient with aggressive recurrent IMT of the lungs. The patient had been admitted for an evaluation of back-pain two years after a complete resection of pulmonary IMT. Radiation therapy was performed for multiple bone recurrences, and the symptoms were improved. However the patient presented again with aggravated back-pain six months later. High-dose steroid and non-steroidal anti-inflammatory drugs were administered, but the disease progressed aggressively, resulting in spinal cord compression and metastasis to intra-abdominal organs. This is a very rare case of aggressively recurrent pulmonary IMT with multi-organ metastasis.
KEYWORD
Lung Neoplasms, Myofibroblasts, Lung, Recurrence, Neoplasm Metastasis
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