Inflammatory myofibroblastic tumor with valvular involvement: a case report and review of the literature

Abstract Background Inflammatory myofibroblastic tumor (IMT) of the heart is extremely rare with unpredictable clinical expression. IMTs, characterized by spindle cells, plasma cells, and a polymorphic inflammatory infiltrate, have a predilection for children and young adults. Clinically, IMT mimics...

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Veröffentlicht in:Cardiovascular pathology 2007-11, Vol.16 (6), p.359-364
Hauptverfasser: Butany, Jagdish, Dixit, Vidya, Leong, Shaun W, Daniel, Lorretta B, Mezody, Mellita, David, Tirone E
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container_end_page 364
container_issue 6
container_start_page 359
container_title Cardiovascular pathology
container_volume 16
creator Butany, Jagdish
Dixit, Vidya
Leong, Shaun W
Daniel, Lorretta B
Mezody, Mellita
David, Tirone E
description Abstract Background Inflammatory myofibroblastic tumor (IMT) of the heart is extremely rare with unpredictable clinical expression. IMTs, characterized by spindle cells, plasma cells, and a polymorphic inflammatory infiltrate, have a predilection for children and young adults. Clinically, IMT mimics malignancy, making a definitive diagnosis difficult, prior to histopathological examination. Methods and results We describe a case of an intracardiac IMT in a 69-year-old woman. Histopathological examination of excised specimens revealed a marked, polymorphic, infiltrate of lymphocytes and plasma cells. Conclusions Cardiac IMTs are benign lesions with favorable prognosis. Herein, we present this case, along with a review of all cardiac IMTs published after the last review in 2002, with emphasis on clinical, pathologic, and immunohistochemical features.
doi_str_mv 10.1016/j.carpath.2007.01.008
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IMTs, characterized by spindle cells, plasma cells, and a polymorphic inflammatory infiltrate, have a predilection for children and young adults. Clinically, IMT mimics malignancy, making a definitive diagnosis difficult, prior to histopathological examination. Methods and results We describe a case of an intracardiac IMT in a 69-year-old woman. Histopathological examination of excised specimens revealed a marked, polymorphic, infiltrate of lymphocytes and plasma cells. Conclusions Cardiac IMTs are benign lesions with favorable prognosis. 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subjects Aged
Aortic Valve - pathology
Cardiac neoplasm
Cardiac Surgical Procedures
Diagnosis, Differential
Echocardiography
Female
Heart Neoplasms - pathology
Heart Neoplasms - surgery
Humans
Inflammation - pathology
Inflammation - surgery
Inflammatory myofibroblastic tumor (IMT)
Inflammatory pseudotumor (IP)
Lymphocytes - pathology
Mitral Valve - pathology
Myofibroma - pathology
Myofibroma - surgery
Pathology
Plasma Cells - pathology
Treatment Outcome
title Inflammatory myofibroblastic tumor with valvular involvement: a case report and review of the literature
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