Knowledge (XXG)

Inflammatory myofibroblastic tumour

Source 📝

592:
corticosteroids or Ifosfamide-based chemotherapy. Of these 9 patients, none had complete responses; 6 had partial responses; 1 had steady disease; and 2 had progressive disease. There were no deaths among the 59 patients. The various drug regimens showed little differences in effectiveness although patients treated with ALK inhibitors trended to have longer response times. Another retrospective study evaluated the response of 17 patients (aged 22–46 years; median age 32 years) with advanced disease to Adriamycin-based chemotherapy regimens, i.e. Adriamycin alone, Adriamycin + Ifosfamide, or Adriamicin + other chemotherapy drugs. No patients had a complete response, 8 patients had partial responses, 4 patients had steady disease, and 5 patients had progressive disease. Progression-free survival and overall survival times for the group were 6.6 and 21.2 months, respectively. The study also evaluated 9 patients (aged 12–31 years, median age 16) treated with methotrexate + vinblastine, methotrexate +
43: 635:
responses, 14 partial responses, 2 stable disease, and 2 recurrences after finishing ALK inhibitor treatment. The latter two patients obtained complete responses to retreatment with crizotinib (1 case) or a second generation ALK inhibitor, ceritinib (1 case). A study of 14 pediatric patients with metastatic or inoperable ALK-positive IMT were treated with crizotinib: 5 patients obtained complete responses, 7 partial responses, and 2 stable disease. Over the study period (2–63 months), no patient developed progressive disease. Numerous
596:, or vinblastine + vinorelbine; 2 patients attained complete responses, 3 attained partial responses, 2 had steady disease, and 2 had progressive disease; this groups' progression-free time was not reached while its overall survival time was 83.4 months. The study concluded that the Adriamycin-based and methotrexate/vinblastine/vinorelbine regimens have a high degree of activity in IMT. Due to the low numbers of patients evaluated, no conclusions could be made on which regimen(s) were most effective. 87:, xanthomatous pseudotumor, solitary mast cell granuloma, inflammatory fibrosarcoma, pseudosarcomatous myofibroblastic proliferation, myofibroblastoma, inflammatory myofibrohistiocytic proliferation, and other tumors that develop from connective tissue cells. Inflammatory pseudotumour is a generic term applied to various neoplastic and non-neoplastic tissue lesions which share a common microscopic appearance consisting of spindle cells and a prominent presence of the 608:, on 12 ALK-positive IMT adults who had persistent and/or metastatic disease following surgical and/or drug treatment: 2 patients had complete responses, 4 had partial responses, 5 had steady disease, and none had progressive disease; 9 of these patients had at least 1 year of progression-free survival but one patient died of the disease. A review of previously published IMT patients of all ages found that: 238:). Apparently, the age and organ/tissue distribution of IMT various with the patient population examined: in general it can present in individuals of almost any age and in almost any organ or tissue site. IMT most commonly presents as a tumor localized to a single site but may be associated with distal 98:
Inflammatory myofibroblastic tumor was initially regarded as a benign tumor that most often developed in the lung and less commonly in almost any organ system or tissue. Over time, however, IMT cases occurred in which the tumor spread into local tissues, metastasized to distal tissues, recurred after
591:
chemotherapy. Of these 19 patients, 4 had complete responses, 8 partial responses, 5 stable disease, and 2 progressive disease. Nine patients had macroscopic disease post-surgery; 5 of these patients received vincristine + methotrexate; 2 received ALK inhibitors; and 1 each received either high-dose
555:
In one retrospective study, 59 patients (all <25 years old) with IMT where treated with surgery. 31 had no residual disease post-surgery; 4 of these patients had local relapses, 3 of whom were again treated surgically and 1 with surgery plus chemotherapy. Nineteen had microscopic residual disease
209:
found the mean age of disease onset was 47.4 years with peak occurrences at 0 to 4, 36 to 40, and >50 years old; middle-aged individuals (41 to 64 years) represented 1/3 of all cases. In this study, the commonest sites of tumor occurrence were the lower limb and hip (22% of cases), upper limb and
629:
6 patients with progressive disease after surgery (due to multifocal or unifocal disease in inaccessible sites) had complete responses (2 cases), partial responses (2 cases), stable disease (1 case), or progressive disease (1 case) in response to crizotinib. Two of these crizotinib-treated patients
430:
gene on the long, i.e. "q" arm of chromosome 17 at position 13 (notated 17q23) to form a chimeric gene notated as t(2;17)(p23;q23). This chimeric gene makes a CLTC-ALK fusion protein with uncontrolled ALK serine/threonine-specific protein kinase activity. Other genes that fuse with AKT found in IMT
551:
Many sources recommend that localized IMT be treated with total resection of all tumorous tissues. Localized tumor recurrences may likewise be treated by total resection. There is little support for adding radiation or systemic chemotherapy to this regimen. Tumors that are not resectable, occur in
741:
Casanova M, Brennan B, Alaggio R, Kelsey A, Orbach D, van Noesel MM, Corradini N, Minard-Colin V, Zanetti I, Bisogno G, Gallego S, Merks JH, De Salvo GL, Ferrari A (March 2020). "Inflammatory myofibroblastic tumor: The experience of the European pediatric Soft Tissue Sarcoma Study Group (EpSSG)".
543:
cases. The neoplastic cells in the tumors of 50% to 60% of IMT cases and 100% of EIMS cases express an ALK fusion protein. Other genetic abnormalities occur in these cells. Testing for the presence of the ALK fusion protein and other genetic abnormalities (see next section) can help diagnose IMT.
542:
and examined under the microscope), collagenous, or mixed myxoid-collagenous matrix, <5% spindle cells, and an inflammatory cell infiltrate that in most cases consists predominantly of neutrophils or, less often, small lymphocytes or eosinophils; plasma cells occur in only a minority of EIMS
634:
Another study reviewed 29 pediatric patients (age 15 months to 17 years) who were treated with an ALK inhibitor followed by surgical removal of the tumor (5 cases), surgical tumor removal followed by an ALK inhibitor (12 cases), or an ALK inhibitor without surgery. Twelve patients had complete
2035:"Crizotinib in patients with advanced, inoperable inflammatory myofibroblastic tumours with and without anaplastic lymphoma kinase gene alterations (European Organisation for Research and Treatment of Cancer 90101 CREATE): a multicentre, single-drug, prospective, non-randomised phase 2 trial" 1171:
Mariño-Enríquez A, Wang WL, Roy A, Lopez-Terrada D, Lazar AJ, Fletcher CD, Coffin CM, Hornick JL (January 2011). "Epithelioid inflammatory myofibroblastic sarcoma: An aggressive intra-abdominal variant of inflammatory myofibroblastic tumor with nuclear membrane or perinuclear ALK".
82:
which support virtually all of the organs and tissues of the body. IMT was formerly termed inflammatory pseudotumor. Currently, however, inflammatory pseudotumor designates a large and heterogeneous group of soft tissue tumors that includes inflammatory myofibroblastic tumor,
1332:
Craig E, Wiltsie LM, Beaupin LK, Baig A, Kozielski R, Rothstein DH, Li V, Twist CJ, Barth M (February 2021). "Anaplastic lymphoma kinase inhibitor therapy in the treatment of inflammatory myofibroblastic tumors in pediatric patients: Case reports and literature review".
242:
in up to 5% of all cases or up to 10% of cases in which the tumor cells express an ALK fusion protein. The tumors range in size from 1–25 cm (average 6.5 cm) with two-thirds being 1.5–6.5 cm. In rare cases, the tumors have spontaneously regressed.
210:
shoulder (12% of cases), and head, face, and neck (9% of cases). Another recent study of 25 patients found the commonest sites of IMT were the abdomen (40% of cases) and lung/thoracic wall (32% of cases). Individual IMT cases are also reported to present in the
161:(ALK). It is not clear whether this inflammation, the genetic abnormalities, or both contribute to the development of IMT but drugs blocking the activities of the fusion proteins made by these genetic abnormalities may be useful in treating the disease. 1275:
Baldi GG, Brahmi M, Lo Vullo S, Cojocaru E, Mir O, Casanova M, Vincenzi B, De Pas TM, Grignani G, Pantaleo MA, Blay JY, Jones RL, Le Cesne A, Frezza AM, Gronchi A, Collini P, Dei Tos AP, Morosi C, Mariani L, Casali PG, Stacchiotti S (November 2020).
246:
Individuals with IMT present with a wide range of symptoms (e.g. pain, swelling, a mass, organ dysfunction, etc.) depending on the tumor location(s). Up to 1/3 of these individuals have symptoms of systemic inflammation such as fever, chills,
2015: 498:
that may promote the development of cancer) merge with other genes. The fusion protein products of these chimeric genes, like those of ALK fusion proteins, are overproduced, overactive, and thereby may contribute to the development of IMT.
2032:
Schöffski P, Sufliarsky J, Gelderblom H, Blay JY, Strauss SJ, Stacchiotti S, Rutkowski P, Lindner LH, Leahy MG, Italiano A, Isambert N, Debiec-Rychter M, Sciot R, Van Cann T, Marréaud S, Nzokirantevye A, Collette S, Wozniak A (June 2018).
599:
In addition to the report that compared the effect of ALK-inhibitors to other therapy regimens detailed in the previous paragraph, several reports have focused primarily on small numbers of IMT patients treated with an ALK inhibitor. The
538:. The epithelioid inflammatory myofibroblastic sarcoma subtype of IMT shows sheets of epithelioid to round cells within a myxoid (i.e. appears blue or purple compared to the normal red appearance of connective tissue when appropriately 639:
studies have had similar results in treated IMT with ALK inhibitors. However, ALK inhibitors have serious side effects; in on study, crizotinib treatment was associated with pneumonia, fever of unknown cause, heart attack,
616:
2 patients (1 with unifocal, 1 with multifocal disease) that had persistent disease after surgery and previously treated with chemotherapy had partial responses to crizotinib while 1 patient previously treated with a
1476:
Castagnola E, Fioredda F, Barretta MA, Pescetto L, Garaventa A, Lanino E, Micalizzi C, Giacchino R, Dini G (June 2001). "Bacillus sphaericus bacteraemia in children with cancer: case reports and literature review".
664:, a tyrosine kinase inhibitor that is active on ROS1 and NRTK as well as AKT, has shown clinically significant activity in individual cases of patients with IMT expressing ROS1, NRTK, and/or an ALK fusion proteins. 798:
Theilen TM, Soerensen J, Bochennek K, Becker M, Schwabe D, Rolle U, Klingebiel T, Lehrnbecher T (April 2018). "Crizotinib in ALK+ inflammatory myofibroblastic tumors-Current experience and future perspectives".
318: 118:
IMT lesions typically consist of, and are defined by, myofibrolastic spindle cells, i.e. specialized cells that are longer than wide, have a microscopic appearance that merges the appearances of
601: 1868:
Ma Z, Hill DA, Collins MH, Morris SW, Sumegi J, Zhou M, Zuppan C, Bridge JA (May 2003). "Fusion of ALK to the Ran-binding protein 2 (RANBP2) gene in inflammatory myofibroblastic tumor".
2342: 1547:
Karnak I, Senocak ME, Ciftci AO, Cağlar M, Bingöl-Koloğlu M, Tanyel FC, Büyükpamukçu N (June 2001). "Inflammatory myofibroblastic tumor in children: diagnosis and treatment".
1217:"Clinicopathological Study of 18 Cases of Inflammatory Myofibroblastic Tumors with Reference to ALK-1 Expression: 5-Year Experience in a Tertiary Care Center" 265: 202: 2172:"Efficacy and Resistance of ALK Inhibitors in Two Inflammatory Myofibroblastic Tumor Patients with ALK Fusions Assessed by Whole Exome and RNA Sequencing" 138:(which may have rounded shapes) with only a minor component of spindle cells. Tumors with these characteristics are regarded as a subtype of IMT termed 2082:"Targeting ALK With Crizotinib in Pediatric Anaplastic Large Cell Lymphoma and Inflammatory Myofibroblastic Tumor: A Children's Oncology Group Study" 2391:
DEMIR, Ömer Faruk, et al. Surgical treatment outcomes of pulmonary inflammatory myofibroblastic tumors. Annals of Thoracic Medicine, 2022, 17.1: 44.
389: 107:, 2013, and current literature commonly describe inflammatory myofibroblastic tumor as a neoplasm with intermediate malignant potential or a rarely 416:
elements. Activation of these elements stimulates cell growth, proliferation, survival, and other tumor-promoting behaviors. As an example of this
112: 111:
neoplasm. In 2020, the World Health Organization reclassified IMT as a specific tumor form in the category of intermediate (rarely metastasizing)
401: 1825:
Debiec-Rychter M, Marynen P, Hagemeijer A, Pauwels P (October 2003). "ALK-ATIC fusion in urinary bladder inflammatory myofibroblastic tumor".
1968:"Over expression of CDK4 and MDM2 in a patient with recurrent ALK-negative mediastinal inflammatory myofibroblastic tumor: A case report" 1812:"ATIC 5-aminoimidazole-4-carboxamide ribonucleotide formyltransferase/IMP cyclohydrolase [Homo sapiens (Human)] – Gene – NCBI" 2270:
Bonvini P, Rossi E, Zin A, Manicone M, Vidotto R, Facchinetti A, Tombolan L, Affinita MC, Santoro L, Zamarchi R, Bisogno G (2021).
2131:"Sustained complete response on crizotinib in primary lung inflammatory myofibroblastic tumor – Case report and literature review" 1278:"The Activity of Chemotherapy in Inflammatory Myofibroblastic Tumors: A Multicenter, European Retrospective Case Series Analysis" 683: 2406: 2272:"Case Report: Circulating Tumor Cells as a Response Biomarker in ALK-Positive Metastatic Inflammatory Myofibroblastic Tumor" 2170:
Zhang C, Wang Z, Zhuang R, Guo X, Feng Y, Shen F, Liu W, Zhang Y, Tong H, Sun W, Liu J, Wang G, Dai C, Lu W, Zhou Y (2020).
2411: 490: 42: 1512:
Banerjee C, Bustamante CI, Wharton R, Talley E, Wade JC (August 1988). "Bacillus infections in patients with cancer".
612:
4 patients (3 with unifocal, 1 with multifocal disease) without prior treatment had complete responses to crizotinin;
1582: 1378:"A Pancreatic Inflammatory Myofibroblastic Tumor with Spontaneous Remission: A Case Report with a Literature Review" 2223:"Entrectinib in Two Pediatric Patients With Inflammatory Myofibroblastic Tumors Harboring ROS1 or ALK Gene Fusions" 673: 158: 115:. In all events, IMT is a rare tumor with a reported incidence in 2009 of 150–200 cases/year in the United States. 2080:
Mossé YP, Voss SD, Lim MS, Rolland D, Minard CG, Fox E, Adamson P, Wilner K, Blaney SM, Weigel BJ (October 2017).
1583:"Inflammatory myofibroblastic tumor | Genetic and Rare Diseases Information Center (GARD) – an NCATS Program" 1142: 417: 369: 287: 206: 186: 104: 495: 314: 1095:"Anaplastic lymphoma kinase: role in cancer pathogenesis and small-molecule inhibitor development for therapy" 704:"Inflammatory myofibroblastic tumor | Genetic and Rare Diseases Information Center (GARD) – an NCATS Program" 341:
usage. The relationship (i.e. cause or merely association) of these disease relationships to IMT is unknown.
2371: 898:"Inflammatory myofibroblastic tumor of the thigh: presentation of a rare case and review of the literature" 552:
inaccessible sites, are multifocal, or have metastasized are treated with aggressive therapeutic regimens.
310: 190: 17: 393: 350: 235: 84: 424:
gene located on the short or "p" arm of chromosome 2 at position 23 (notated as 2p23) merges with the
349:
The neoplastic cells in 50–60% of IMT and all cases of EIMS express an abnormal ALK protein made by a
277: 271: 1925:
Panagopoulos I, Nilsson T, Domanski HA, Isaksson M, Lindblom P, Mertens F, Mandahl N (March 2006).
1912:"SEC31A SEC31 homolog A, COPII coat complex component [Homo sapiens (Human)] – Gene – NCBI" 1093:
Webb TR, Slavish J, George RE, Look AT, Xue L, Jiang Q, Cui X, Rentrop WB, Morris SW (March 2009).
649: 231: 2062: 1893: 1850: 1358: 1197: 824: 767: 515: 123: 1005:"Inflammatory myofibroblastic tumor: A demographic, clinical and therapeutic study of 92 cases" 201:, or other sites. However, a more recent retrospective study of 92 patients accumulated by the 169:
IMT was regarded as a tumor that occurs in children or young adults and presented in the lung,
2303: 2252: 2203: 2152: 2111: 2054: 1997: 1948: 1885: 1842: 1793: 1739: 1688: 1637: 1564: 1529: 1494: 1458: 1409: 1350: 1307: 1246: 1189: 1124: 1075: 1026: 970: 929: 878: 816: 759: 519: 227: 135: 88: 79: 1376:
Matsubayashi H, Uesaka K, Sasaki K, Shimada S, Takada K, Ishiwatari H, Ono H (October 2019).
2293: 2283: 2242: 2234: 2193: 2183: 2142: 2101: 2093: 2046: 1987: 1979: 1938: 1877: 1834: 1783: 1775: 1729: 1719: 1706:
Martorana F, Motta G, Pavone G, Motta L, Stella S, Vitale SR, Manzella L, Vigneri P (2021).
1678: 1668: 1629: 1556: 1521: 1486: 1448: 1440: 1399: 1389: 1342: 1297: 1289: 1236: 1228: 1181: 1114: 1106: 1065: 1057: 1016: 960: 919: 909: 868: 858: 808: 751: 657: 510:
examination of the tumors in IMT generally reveals myofibroblastic spindle cell sheets in a
301: 130:), occur in normal as well as tumor tissues, and in normal tissues are commonly designated 636: 557: 481: 360:. ALK, i.e. anaplastic lymphoma kinase (also termed protein kinase B), is produced by the 282: 211: 182: 174: 1525: 1215:
Telugu RB, Prabhu AJ, Kalappurayil NB, Mathai J, Gnanamuthu BR, Manipadam MT (May 2017).
1966:
Hou TC, Wu PS, Huang WY, Yang YT, Tan KT, Liu SH, Chen YJ, Chen SJ, Su YW (March 2020).
703: 2347: 2298: 2271: 2247: 2222: 2198: 2171: 2106: 2081: 1992: 1967: 1788: 1763: 1734: 1707: 1683: 1656: 1404: 1377: 1302: 1277: 1241: 1216: 1119: 1094: 1070: 1045: 924: 897: 896:
Savvidou OD, Sakellariou VI, Papakonstantinou O, Skarpidi E, Papagelopoulos PJ (2015).
873: 846: 618: 507: 413: 385: 338: 334: 178: 154: 2050: 1453: 1428: 2400: 1362: 771: 678: 631: 588: 580: 572: 373: 127: 108: 54: 1897: 1854: 1620:
Amador C, Feldman AL (March 2021). "How I Diagnose Anaplastic Large Cell Lymphoma".
1293: 1201: 2066: 1346: 828: 568: 565: 523: 511: 409: 405: 381: 248: 146: 92: 2034: 1764:"Anaplastic lymphoma kinase fusions: Roles in cancer and therapeutic perspectives" 539: 372:
with a gene located at another site on the same or different chromosome to form a
58: 1597:"AKT1 AKT serine/threonine kinase 1 [Homo sapiens (human)] - Gene - NCBI" 1185: 2135:
Monaldi Archives for Chest Disease = Archivio Monaldi per le Malattie del Torace
1983: 661: 593: 576: 561: 535: 531: 527: 219: 198: 131: 1394: 755: 2147: 2130: 1927:"Fusion of the SEC31L1 and ALK genes in an inflammatory myofibroblastic tumor" 1724: 622: 605: 584: 433: 397: 239: 223: 215: 119: 100: 75: 50: 2288: 2097: 1110: 149:
white blood cells and in most cases tumor cells that express highly abnormal
1673: 1560: 1232: 965: 948: 556:
post-surgery. Post-surgery, 6 of these patients were treated with high-dose
326: 256: 218:, and parameningeal spaces (i.e. sites adjacent to the meninges such as the 170: 150: 2307: 2256: 2207: 2156: 2115: 2058: 2001: 1952: 1889: 1846: 1797: 1743: 1692: 1641: 1633: 1568: 1498: 1490: 1413: 1354: 1311: 1250: 1193: 1128: 1079: 1061: 1046:"The 2020 WHO Classification of Soft Tissue Tumours: news and perspectives" 1030: 974: 933: 882: 820: 763: 177:
or, less commonly, heart, liver, spleen, pancreas, colon, small intestine,
1911: 1533: 914: 863: 476:. IMT cases may express other chimeric genes in which the active parts of 2366: 1779: 1462: 1444: 251:, and weight loss. Rare cases of IMT have developed in individuals with: 194: 71: 2334: 2238: 2188: 1811: 1596: 1021: 1004: 1429:"Pseudotumour of the lung caused by infection with Bacillus sphaericus" 645: 488:(coding for a protein that may promote the development of cancer), and 322: 306: 1943: 1926: 1881: 1838: 812: 847:"Inflammatory Pseudotumor: A 20-Year Single Institutional Experience" 641: 485: 460: 296: 1655:
Ducray SP, Natarajan K, Garland GD, Turner SD, Egger G (July 2019).
319:
Epstein–Barr virus-associated lymphoproliferative malignant diseases
134:. However, the lesions in some IMF cases are dominated by sheets of 1657:"The Transcriptional Roles of ALK Fusion Proteins in Tumorigenesis" 99:
treatment, or consisted of neoplastic cells that had pro-malignant
1427:
Isaacson P, Jacobs PH, Mackenzie AM, Mathews AW (September 1976).
587:-based chemotherapy; and 1 with cyclophosphamide + vinchristine + 437: 1708:"AKT Inhibitors: New Weapons in the Fight Against Breast Cancer?" 2129:
Mittal A, Gupta A, Dhamija E, Barwad A, Rastogi S (March 2021).
477: 451: 445: 441: 426: 357: 653: 522:); the matrix also contains inflammatory cells, particularly 1003:
Fu GX, Xu CC, Yao NF, Gu JZ, Jiang HL, Han XF (July 2019).
625:, continued to have progressive disease on crizotinib; and 602:
European Organisation for Research and Treatment of Cancer
949:"Inflammatory myofibroblastic tumours: where are we now?" 53:
of an inflammatory myofibroblastic tumour of the kidney.
1762:
Cao Z, Gao Q, Fu M, Ni N, Pei Y, Ou WB (February 2019).
630:
with progressive disease had near complete responses to
2221:
Ambati SR, Slotkin EK, Chow-Maneval E, Basu EM (2018).
376:
consisting of a part of the new gene and a part of the
384:
for ALK's activity. This chimeric gene overproduces a
845:
Ajani MA, Fatunla EO, Onakpoma FA, Salami AA (2020).
2324: 2357: 2328: 32: 27: 157:such as those that contain the active portion of 1044:Sbaraglia M, Bellan E, Dei Tos AP (April 2021). 514:(i.e. a background matrix containing gelatinous 145:The tumors in IMT and EIMS consistently contain 140:epithelioid inflammatory myofibroblastic sarcoma 36:Epithelioid inflammatory myofibroblastic sarcoma 2027: 2025: 1757: 1755: 1753: 1327: 1325: 1323: 1321: 1270: 1268: 1266: 1264: 1262: 1260: 1221:Journal of Pathology and Translational Medicine 1166: 1164: 1162: 468:chimeric genes occur in the EMIS form of IMT), 91:that populate chronic or, less commonly, acute 998: 996: 994: 992: 990: 988: 986: 984: 840: 838: 793: 791: 789: 787: 785: 783: 781: 736: 734: 732: 730: 728: 726: 724: 674:Anaplastic lymphoma kinase-positive neoplasias 8: 480:(found in 10% of IFT cases and coding for a 604:evaluated the effect of the ALK-inhibitor, 203:Surveillance, Epidemiology, and End Results 2325: 1174:The American Journal of Surgical Pathology 41: 24: 2297: 2287: 2246: 2197: 2187: 2146: 2105: 1991: 1942: 1787: 1733: 1723: 1682: 1672: 1452: 1403: 1393: 1301: 1240: 1118: 1069: 1020: 964: 923: 913: 872: 862: 1009:Mathematical Biosciences and Engineering 390:serine/threonine-specific protein kinase 2384: 695: 392:that directly or indirectly stimulates 335:ventriculoperitoneal shunt in the brain 113:fibroblastic and myofibroblastic tumors 1622:American Journal of Clinical Pathology 388:with excessive ALK activity. ALK is a 295:, a rare cause of lung infections and 947:Gleason BC, Hornick JL (April 2008). 652:, and the development of an abnormal 7: 1526:10.1001/archinte.1988.00380080059017 333:previous abdominal surgery; trauma; 1099:Expert Review of Anticancer Therapy 28:Inflammatory myofibroblastic tumour 266:Mycobacterium avium intracellulare 68:Inflammatory myofibroblastic tumor 14: 1479:The Journal of Hospital Infection 103:abnormalities. Consequently, the 2039:The Lancet. Respiratory Medicine 1382:Diagnostics (Basel, Switzerland) 632:second generation ALK inhibitors 1931:International Journal of Cancer 1870:Genes, Chromosomes & Cancer 1827:Genes, Chromosomes & Cancer 1294:10.1634/theoncologist.2020-0352 1143:"spindle cells - Google Search" 684:Inflammatory myeloblastic tumor 1347:10.1016/j.jpedsurg.2021.02.004 275:(pneumonia-causing bacteria); 1: 2051:10.1016/S2213-2600(18)30116-4 1514:Archives of Internal Medicine 1433:Journal of Clinical Pathology 953:Journal of Clinical Pathology 484:which promotes cell growth), 2086:Journal of Clinical Oncology 1549:Journal of Pediatric Surgery 1335:Journal of Pediatric Surgery 1186:10.1097/PAS.0b013e318200cfd5 851:Advanced Biomedical Research 801:Pediatric Blood & Cancer 1984:10.1097/MD.0000000000019577 902:Case Reports in Orthopedics 2428: 1395:10.3390/diagnostics9040150 756:10.1016/j.ejca.2019.12.021 744:European Journal of Cancer 329:of intrahepatic veins; or 159:anaplastic lymphoma kinase 15: 2148:10.4081/monaldi.2021.1586 1725:10.3389/fphar.2021.662232 1712:Frontiers in Pharmacology 708:rarediseases.info.nih.gov 650:acute renal insufficiency 418:chromosomal translocation 337:; radiation therapy; and 288:Lysinibacillus sphaericus 207:National Cancer Institute 105:World Health Organization 49: 40: 2289:10.3389/fped.2021.652583 2098:10.1200/JCO.2017.73.4830 1111:10.1586/14737140.9.3.331 530:occasionally mixed with 496:receptor tyrosine kinase 315:infectious mononucleosis 2276:Frontiers in Pediatrics 2176:OncoTargets and Therapy 1674:10.3390/cancers11081074 1561:10.1053/jpsu.2001.23970 1233:10.4132/jptm.2017.01.12 966:10.1136/jcp.2007.049387 345:Molecular abnormalities 2227:JCO Precision Oncology 1491:10.1053/jhin.2001.0995 1062:10.32074/1591-951X-213 205:(SEER) program of the 191:central nervous system 18:Myofibroblastic tumors 2407:Soft tissue disorders 864:10.4103/abr.abr_48_20 351:somatic recombination 236:pterygopalatine fossa 85:plasma cell granuloma 2412:IgG4-related disease 1780:10.3892/ol.2018.9856 1634:10.1093/ajcp/aqab012 1601:www.ncbi.nlm.nih.gov 1445:10.1136/jcp.29.9.806 278:Campylobacter jejuni 272:Corynebacterium equi 181:, prostate, uterus, 78:cells that form the 2239:10.1200/PO.18.00095 2189:10.2147/OTT.S270481 1288:(11): e1777–e1784. 1022:10.3934/mbe.2019339 915:10.1155/2015/814241 516:mucopolysaccharides 325:-related occlusive 293:Bacillus sphaericus 291:(previously termed 232:infratemporal fossa 124:smooth muscle cells 2358:External resources 520:glycosaminoglycans 364:gene. In IMT, the 311:Epstein–Barr virus 165:Signs and symptoms 80:connective tissues 2381: 2380: 2092:(28): 3215–3221. 1944:10.1002/ijc.21490 1882:10.1002/gcc.10177 1839:10.1002/gcc.10267 1341:(12): 2364–2371. 813:10.1002/pbc.26920 573:inhibitors of ALK 518:and non-sulfated 512:myxoid background 464:(most if not all 228:paranasal sinuses 153:(cancer-causing) 136:epithelioid cells 89:white blood cells 65: 64: 22:Medical condition 2419: 2392: 2389: 2326: 2312: 2311: 2301: 2291: 2267: 2261: 2260: 2250: 2218: 2212: 2211: 2201: 2191: 2167: 2161: 2160: 2150: 2126: 2120: 2119: 2109: 2077: 2071: 2070: 2029: 2020: 2019: 2012: 2006: 2005: 1995: 1963: 1957: 1956: 1946: 1922: 1916: 1915: 1908: 1902: 1901: 1865: 1859: 1858: 1822: 1816: 1815: 1808: 1802: 1801: 1791: 1774:(2): 2020–2030. 1768:Oncology Letters 1759: 1748: 1747: 1737: 1727: 1703: 1697: 1696: 1686: 1676: 1652: 1646: 1645: 1617: 1611: 1610: 1608: 1607: 1593: 1587: 1586: 1579: 1573: 1572: 1544: 1538: 1537: 1509: 1503: 1502: 1473: 1467: 1466: 1456: 1424: 1418: 1417: 1407: 1397: 1373: 1367: 1366: 1329: 1316: 1315: 1305: 1272: 1255: 1254: 1244: 1212: 1206: 1205: 1168: 1157: 1156: 1154: 1153: 1139: 1133: 1132: 1122: 1090: 1084: 1083: 1073: 1041: 1035: 1034: 1024: 1015:(6): 6794–6804. 1000: 979: 978: 968: 944: 938: 937: 927: 917: 893: 887: 886: 876: 866: 842: 833: 832: 795: 776: 775: 738: 719: 718: 716: 714: 700: 302:Coxiella burneti 147:pro-inflammatory 70:(IMT) is a rare 45: 25: 2427: 2426: 2422: 2421: 2420: 2418: 2417: 2416: 2397: 2396: 2395: 2390: 2386: 2382: 2377: 2376: 2353: 2352: 2337: 2323: 2316: 2315: 2269: 2268: 2264: 2220: 2219: 2215: 2182:: 10335–10342. 2169: 2168: 2164: 2128: 2127: 2123: 2079: 2078: 2074: 2031: 2030: 2023: 2014: 2013: 2009: 1965: 1964: 1960: 1924: 1923: 1919: 1910: 1909: 1905: 1867: 1866: 1862: 1824: 1823: 1819: 1810: 1809: 1805: 1761: 1760: 1751: 1705: 1704: 1700: 1654: 1653: 1649: 1619: 1618: 1614: 1605: 1603: 1595: 1594: 1590: 1581: 1580: 1576: 1546: 1545: 1541: 1511: 1510: 1506: 1475: 1474: 1470: 1426: 1425: 1421: 1375: 1374: 1370: 1331: 1330: 1319: 1274: 1273: 1258: 1214: 1213: 1209: 1170: 1169: 1160: 1151: 1149: 1141: 1140: 1136: 1092: 1091: 1087: 1043: 1042: 1038: 1002: 1001: 982: 946: 945: 941: 895: 894: 890: 844: 843: 836: 797: 796: 779: 740: 739: 722: 712: 710: 702: 701: 697: 692: 670: 658:QT prolongation 637:Medical history 558:corticosteroids 549: 540:H&E stained 508:Histopathologic 505: 482:tyrosine kinase 347: 283:gastroenteritis 212:urinary bladder 175:greater omentum 167: 155:fusion proteins 23: 20: 12: 11: 5: 2425: 2423: 2415: 2414: 2409: 2399: 2398: 2394: 2393: 2383: 2379: 2378: 2375: 2374: 2362: 2361: 2359: 2355: 2354: 2351: 2350: 2338: 2333: 2332: 2330: 2329:Classification 2322: 2321:External links 2319: 2314: 2313: 2262: 2213: 2162: 2121: 2072: 2045:(6): 431–441. 2021: 2007: 1978:(12): e19577. 1958: 1917: 1903: 1860: 1817: 1803: 1749: 1698: 1647: 1628:(4): 479–497. 1612: 1588: 1574: 1539: 1520:(8): 1769–74. 1504: 1468: 1419: 1368: 1317: 1282:The Oncologist 1256: 1227:(3): 255–263. 1207: 1158: 1147:www.google.com 1134: 1085: 1036: 980: 939: 888: 834: 777: 720: 694: 693: 691: 688: 687: 686: 681: 679:ALK inhibitors 676: 669: 666: 619:corticosteroid 548: 545: 504: 501: 494:(coding for a 414:cell signaling 386:fusion protein 346: 343: 339:corticosteroid 193:nerves, brain 179:spermatic cord 166: 163: 63: 62: 47: 46: 38: 37: 34: 30: 29: 21: 16:Main article: 13: 10: 9: 6: 4: 3: 2: 2424: 2413: 2410: 2408: 2405: 2404: 2402: 2388: 2385: 2373: 2369: 2368: 2364: 2363: 2360: 2356: 2349: 2345: 2344: 2340: 2339: 2336: 2331: 2327: 2320: 2318: 2309: 2305: 2300: 2295: 2290: 2285: 2281: 2277: 2273: 2266: 2263: 2258: 2254: 2249: 2244: 2240: 2236: 2232: 2228: 2224: 2217: 2214: 2209: 2205: 2200: 2195: 2190: 2185: 2181: 2177: 2173: 2166: 2163: 2158: 2154: 2149: 2144: 2140: 2136: 2132: 2125: 2122: 2117: 2113: 2108: 2103: 2099: 2095: 2091: 2087: 2083: 2076: 2073: 2068: 2064: 2060: 2056: 2052: 2048: 2044: 2040: 2036: 2028: 2026: 2022: 2017: 2011: 2008: 2003: 1999: 1994: 1989: 1985: 1981: 1977: 1973: 1969: 1962: 1959: 1954: 1950: 1945: 1940: 1937:(5): 1181–6. 1936: 1932: 1928: 1921: 1918: 1913: 1907: 1904: 1899: 1895: 1891: 1887: 1883: 1879: 1876:(1): 98–105. 1875: 1871: 1864: 1861: 1856: 1852: 1848: 1844: 1840: 1836: 1833:(2): 187–90. 1832: 1828: 1821: 1818: 1813: 1807: 1804: 1799: 1795: 1790: 1785: 1781: 1777: 1773: 1769: 1765: 1758: 1756: 1754: 1750: 1745: 1741: 1736: 1731: 1726: 1721: 1717: 1713: 1709: 1702: 1699: 1694: 1690: 1685: 1680: 1675: 1670: 1666: 1662: 1658: 1651: 1648: 1643: 1639: 1635: 1631: 1627: 1623: 1616: 1613: 1602: 1598: 1592: 1589: 1584: 1578: 1575: 1570: 1566: 1562: 1558: 1555:(6): 908–12. 1554: 1550: 1543: 1540: 1535: 1531: 1527: 1523: 1519: 1515: 1508: 1505: 1500: 1496: 1492: 1488: 1484: 1480: 1472: 1469: 1464: 1460: 1455: 1450: 1446: 1442: 1439:(9): 806–11. 1438: 1434: 1430: 1423: 1420: 1415: 1411: 1406: 1401: 1396: 1391: 1387: 1383: 1379: 1372: 1369: 1364: 1360: 1356: 1352: 1348: 1344: 1340: 1336: 1328: 1326: 1324: 1322: 1318: 1313: 1309: 1304: 1299: 1295: 1291: 1287: 1283: 1279: 1271: 1269: 1267: 1265: 1263: 1261: 1257: 1252: 1248: 1243: 1238: 1234: 1230: 1226: 1222: 1218: 1211: 1208: 1203: 1199: 1195: 1191: 1187: 1183: 1180:(1): 135–44. 1179: 1175: 1167: 1165: 1163: 1159: 1148: 1144: 1138: 1135: 1130: 1126: 1121: 1116: 1112: 1108: 1105:(3): 331–56. 1104: 1100: 1096: 1089: 1086: 1081: 1077: 1072: 1067: 1063: 1059: 1055: 1051: 1047: 1040: 1037: 1032: 1028: 1023: 1018: 1014: 1010: 1006: 999: 997: 995: 993: 991: 989: 987: 985: 981: 976: 972: 967: 962: 959:(4): 428–37. 958: 954: 950: 943: 940: 935: 931: 926: 921: 916: 911: 907: 903: 899: 892: 889: 884: 880: 875: 870: 865: 860: 856: 852: 848: 841: 839: 835: 830: 826: 822: 818: 814: 810: 807:(4): e26920. 806: 802: 794: 792: 790: 788: 786: 784: 782: 778: 773: 769: 765: 761: 757: 753: 749: 745: 737: 735: 733: 731: 729: 727: 725: 721: 709: 705: 699: 696: 689: 685: 682: 680: 677: 675: 672: 671: 667: 665: 663: 659: 655: 651: 647: 643: 638: 633: 628: 624: 620: 615: 611: 607: 603: 597: 595: 590: 589:actinomycin D 586: 582: 581:cycloheximide 578: 574: 570: 567: 563: 559: 553: 546: 544: 541: 537: 533: 529: 525: 521: 517: 513: 509: 502: 500: 497: 493: 492: 487: 483: 479: 475: 471: 467: 463: 462: 458: 454: 453: 448: 447: 443: 439: 435: 429: 428: 423: 419: 415: 411: 410:STAT proteins 407: 403: 399: 395: 394:PI3K/AKT/mTOR 391: 387: 383: 379: 375: 374:chimeric gene 371: 367: 363: 359: 356: 352: 344: 342: 340: 336: 332: 328: 324: 320: 316: 312: 308: 304: 303: 298: 294: 290: 289: 284: 280: 279: 274: 273: 268: 267: 263:infection by 262: 258: 254: 250: 244: 241: 237: 233: 229: 225: 221: 217: 213: 208: 204: 200: 196: 192: 188: 184: 180: 176: 172: 164: 162: 160: 156: 152: 148: 143: 141: 137: 133: 129: 128:myofibroblast 125: 121: 116: 114: 110: 109:metastasizing 106: 102: 96: 94: 90: 86: 81: 77: 73: 69: 60: 59:H&E stain 56: 55:Kidney biopsy 52: 48: 44: 39: 35: 31: 26: 19: 2387: 2365: 2341: 2317: 2279: 2275: 2265: 2230: 2226: 2216: 2179: 2175: 2165: 2138: 2134: 2124: 2089: 2085: 2075: 2042: 2038: 2010: 1975: 1971: 1961: 1934: 1930: 1920: 1906: 1873: 1869: 1863: 1830: 1826: 1820: 1806: 1771: 1767: 1715: 1711: 1701: 1664: 1660: 1650: 1625: 1621: 1615: 1604:. Retrieved 1600: 1591: 1577: 1552: 1548: 1542: 1517: 1513: 1507: 1485:(2): 142–5. 1482: 1478: 1471: 1436: 1432: 1422: 1385: 1381: 1371: 1338: 1334: 1285: 1281: 1224: 1220: 1210: 1177: 1173: 1150:. Retrieved 1146: 1137: 1102: 1098: 1088: 1056:(2): 70–84. 1053: 1049: 1039: 1012: 1008: 956: 952: 942: 905: 901: 891: 854: 850: 804: 800: 747: 743: 711:. Retrieved 707: 698: 644:, abdominal 626: 613: 609: 598: 569:chemotherapy 566:methotrexate 554: 550: 524:plasma cells 506: 489: 473: 469: 465: 459: 456: 450: 432: 425: 421: 412:, and other 406:Janus kinase 377: 365: 361: 354: 348: 330: 300: 292: 286: 276: 270: 264: 260: 252: 249:night sweats 245: 168: 144: 139: 117: 97: 67: 66: 1667:(8): 1074. 1050:Pathologica 750:: 123–129. 662:Entrectinib 594:vinorelbine 579:+ low-dose 577:vinorelbine 562:vinblastine 536:neutrophils 532:eosinophils 528:lymphocytes 255:organizing 220:nasopharynx 199:spinal cord 132:fibroblasts 120:fibroblasts 33:Other names 2401:Categories 2282:: 652583. 2233:(2): 1–6. 2016:"UpToDate" 1718:: 662232. 1606:2021-11-22 1388:(4): 150. 1152:2021-11-22 908:: 814241. 690:References 623:prednisone 606:crizotinib 585:Ifosfamide 398:Ras GTPase 240:metastases 224:middle ear 216:anal canal 187:peripheral 101:chromosome 76:mesodermal 51:Micrograph 1363:232140059 772:211012731 575:; 2 with 571:; 3 with 560:; 5 with 547:Treatment 503:Diagnosis 466:RAMB2-ALK 431:include: 368:gene has 327:phlebitis 257:pneumonia 183:eye orbit 171:mesentery 151:oncogenic 95:tissues. 2367:Orphanet 2308:33996693 2257:33134769 2208:33116613 2157:33794589 2116:28787259 2059:29669701 2002:32195970 1972:Medicine 1953:16161041 1898:23427194 1890:12661011 1855:40569327 1847:12939746 1798:30675269 1744:33995085 1693:31366041 1642:33686426 1569:11381424 1499:11428882 1414:31627359 1355:33676744 1312:32584482 1251:28415158 1202:40339168 1194:21164297 1129:19275511 1080:33179614 1031:31698588 975:17938159 934:25945274 883:33816387 821:29286567 764:32007712 668:See also 313:(causes 305:(causes 281:(causes 195:meninges 142:(EIMS). 93:inflamed 72:neoplasm 2348:M8825/1 2299:8116882 2248:7594679 2199:7568619 2107:5617123 2067:5000248 1993:7220190 1789:6341817 1735:8118639 1684:6721376 1661:Cancers 1534:3401098 1405:6963339 1303:7648357 1242:5445201 1120:2780428 1071:8167394 925:4402203 874:8012865 829:3395900 713:28 June 646:abscess 474:SEC31L1 353:in the 323:E. coli 321:); and 307:Q fever 74:of the 2372:178342 2306:  2296:  2255:  2245:  2206:  2196:  2155:  2114:  2104:  2065:  2057:  2000:  1990:  1951:  1896:  1888:  1853:  1845:  1796:  1786:  1742:  1732:  1691:  1681:  1640:  1567:  1532:  1497:  1463:977782 1461:  1454:476182 1451:  1412:  1402:  1361:  1353:  1310:  1300:  1249:  1239:  1200:  1192:  1127:  1117:  1078:  1068:  1029:  973:  932:  922:  881:  871:  857:: 68. 827:  819:  770:  762:  656:(i.e. 642:sepsis 486:PDGFRB 472:, and 461:RANBP2 420:, the 382:coding 370:merged 297:sepsis 2343:ICD-O 2141:(3). 2063:S2CID 1894:S2CID 1851:S2CID 1359:S2CID 1198:S2CID 825:S2CID 768:S2CID 470:CARS1 438:DCTN1 380:gene 126:(see 2304:PMID 2253:PMID 2204:PMID 2153:PMID 2112:PMID 2055:PMID 1998:PMID 1949:PMID 1886:PMID 1843:PMID 1794:PMID 1740:PMID 1689:PMID 1638:PMID 1565:PMID 1530:PMID 1495:PMID 1459:PMID 1410:PMID 1351:PMID 1308:PMID 1247:PMID 1190:PMID 1125:PMID 1076:PMID 1027:PMID 971:PMID 930:PMID 906:2015 879:PMID 817:PMID 760:PMID 715:2019 534:and 526:and 491:NTRK 478:ROS1 457:ATIC 452:TPM4 446:TPM3 442:EML4 427:CLTC 402:ERKs 358:gene 317:and 234:and 122:and 2294:PMC 2284:doi 2243:PMC 2235:doi 2194:PMC 2184:doi 2143:doi 2102:PMC 2094:doi 2047:doi 1988:PMC 1980:doi 1939:doi 1935:118 1878:doi 1835:doi 1784:PMC 1776:doi 1730:PMC 1720:doi 1679:PMC 1669:doi 1630:doi 1626:155 1557:doi 1522:doi 1518:148 1487:doi 1449:PMC 1441:doi 1400:PMC 1390:doi 1343:doi 1298:PMC 1290:doi 1237:PMC 1229:doi 1182:doi 1115:PMC 1107:doi 1066:PMC 1058:doi 1054:113 1017:doi 961:doi 920:PMC 910:doi 869:PMC 859:doi 809:doi 752:doi 748:127 660:). 654:EKG 583:or 434:TFG 422:ALK 378:ALK 366:ALK 362:ALK 355:ALK 309:); 299:); 285:); 269:or 189:or 2403:: 2370:: 2346:: 2302:. 2292:. 2278:. 2274:. 2251:. 2241:. 2229:. 2225:. 2202:. 2192:. 2180:13 2178:. 2174:. 2151:. 2139:91 2137:. 2133:. 2110:. 2100:. 2090:35 2088:. 2084:. 2061:. 2053:. 2041:. 2037:. 2024:^ 1996:. 1986:. 1976:99 1974:. 1970:. 1947:. 1933:. 1929:. 1892:. 1884:. 1874:37 1872:. 1849:. 1841:. 1831:38 1829:. 1792:. 1782:. 1772:17 1770:. 1766:. 1752:^ 1738:. 1728:. 1716:12 1714:. 1710:. 1687:. 1677:. 1665:11 1663:. 1659:. 1636:. 1624:. 1599:. 1563:. 1553:36 1551:. 1528:. 1516:. 1493:. 1483:48 1481:. 1457:. 1447:. 1437:29 1435:. 1431:. 1408:. 1398:. 1384:. 1380:. 1357:. 1349:. 1339:56 1337:. 1320:^ 1306:. 1296:. 1286:25 1284:. 1280:. 1259:^ 1245:. 1235:. 1225:51 1223:. 1219:. 1196:. 1188:. 1178:35 1176:. 1161:^ 1145:. 1123:. 1113:. 1101:. 1097:. 1074:. 1064:. 1052:. 1048:. 1025:. 1013:16 1011:. 1007:. 983:^ 969:. 957:61 955:. 951:. 928:. 918:. 904:. 900:. 877:. 867:. 853:. 849:. 837:^ 823:. 815:. 805:65 803:. 780:^ 766:. 758:. 746:. 723:^ 706:. 648:, 627:3) 621:, 614:2) 610:1) 564:+ 455:, 449:, 444:, 440:, 436:, 408:, 404:, 400:, 396:, 331:c) 261:b) 259:; 253:a) 230:, 226:, 222:, 214:, 197:, 185:, 173:, 57:. 2335:D 2310:. 2286:: 2280:9 2259:. 2237:: 2231:2 2210:. 2186:: 2159:. 2145:: 2118:. 2096:: 2069:. 2049:: 2043:6 2018:. 2004:. 1982:: 1955:. 1941:: 1914:. 1900:. 1880:: 1857:. 1837:: 1814:. 1800:. 1778:: 1746:. 1722:: 1695:. 1671:: 1644:. 1632:: 1609:. 1585:. 1571:. 1559:: 1536:. 1524:: 1501:. 1489:: 1465:. 1443:: 1416:. 1392:: 1386:9 1365:. 1345:: 1314:. 1292:: 1253:. 1231:: 1204:. 1184:: 1155:. 1131:. 1109:: 1103:9 1082:. 1060:: 1033:. 1019:: 977:. 963:: 936:. 912:: 885:. 861:: 855:9 831:. 811:: 774:. 754:: 717:. 61:.

Index

Myofibroblastic tumors

Micrograph
Kidney biopsy
H&E stain
neoplasm
mesodermal
connective tissues
plasma cell granuloma
white blood cells
inflamed
chromosome
World Health Organization
metastasizing
fibroblastic and myofibroblastic tumors
fibroblasts
smooth muscle cells
myofibroblast
fibroblasts
epithelioid cells
pro-inflammatory
oncogenic
fusion proteins
anaplastic lymphoma kinase
mesentery
greater omentum
spermatic cord
eye orbit
peripheral
central nervous system

Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.