Inflammatory myofibroblastic tumor: bronchus

Case contributed by Dr Hazem M Almasarei

Presentation

A chronic cough for 18 months with new hemoptysis.

Patient Data

Age: 15 years
Gender: Female

There is an intraluminal fungating small soft tissue lesion arising from the posterior wall of the proximal right main bronchus, measuring 1 x 0.7 cm, causing ~50-70% narrowing of the lumen. No extra-bronchial extension. No suspicious pulmonary mass or measurable nodule. No hilar or axillary lymph node enlargement. No pleural effusion.

Annotated image

Annotated coronal reconstruction demonstrating the location of the lesion. 

Pathology report.

Case Discussion

Inflammatory myofibroblastic tumor is a benign disease, though it can spread locally and even metastasize. It is more common in children and young adults.

Review the companion case, mucoepidermoid carcinoma of lung, which resembles this case in imaging findings and is differentiated only by pathology.

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Case information

rID: 57070
Published: 10th Dec 2017
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included