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Images in Thorax
Contralateral recurrence of inflammatory myofibroblastic tumour of the lung 10 years after pneumonectomy
  1. Daniel C Vis1,
  2. Margaret M Kelly2,
  3. Andrew G Lee3,
  4. Gary Gelfand4,
  5. Kerri A Johannson1,5
  1. 1Department of Medicine, University of Calgary, Calgary, Alberta, Canada
  2. 2Department of Pathology and Laboratory Medicine, University of Calgary, Calgary, Alberta, Canada
  3. 3Department of Radiology, University of Calgary, Calgary, Alberta, Canada
  4. 4Department of Surgery, University of Calgary, Calgary, Alberta, Canada
  5. 5Department of Community Health Sciences, University of Calgary, Calgary, Alberta, Canada
  1. Correspondence to Dr Kerri A Johannson, Department of Medicine, University of Calgary, Calgary, AB T2N 1N4, Canada; kerri.johannson{at}ahs.ca

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Introduction

Inflammatory myofibroblastic tumour (IMT) is a rare form of inflammatory pseudotumour of the lung. Complete surgical resection is the treatment of choice, with corticosteroid-based medical therapy reserved for cases where complete resection is not possible.1 To date, the majority of recurrent cases have occurred subsequent to incomplete resection or after discontinuation of steroids when used as primary therapy.1 2 There is a paucity of data guiding the follow-up of patients who undergo complete resection. In addition, the efficacy of oral steroids in the treatment of IMT remains poorly characterised and the optimal duration of therapy is unknown.

Case presentation

A 46-year-old lifetime non-smoker presented in December 2015 with dyspnoea, fatigue, night sweats and weight loss. A chest X-ray demonstrated a new left lower lobe mass. His history was significant only for a right pneumonectomy in June 2005 for a large inflammatory pseudotumour. This pneumonectomy was performed for definitive surgical management, as the mass was adjacent to …

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