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Fernández AG, Ayestarán NZ, Miguélez SH. Tracheal Inflammatory Myofibroblastic Tumour ALK+ as Cause of Dyspnea in a 10 Years Old Child. Indian J Otolaryngol Head Neck Surg 2023; 75:2511-2514. [PMID: 37636695 PMCID: PMC10447711 DOI: 10.1007/s12070-023-03775-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Accepted: 04/03/2023] [Indexed: 08/29/2023] Open
Abstract
Inflammatory myofibroblastic tumours are rare lesions that could occur in airways. We report a 10 years old male who complains about dyspnea after physical exercise. Making CT and RMI images and a biopsy, we make an accurate diagnosis of an inflammatory myofibroblastic tumour ALK+. After treatment with a subtotal resection and crizotinib as adjuvant, we achieve a complete remission. Supplementary Information The online version contains supplementary material available at 10.1007/s12070-023-03775-5.
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Affiliation(s)
- Andrés González Fernández
- Department of Otolaryngology and head and neck surgery, Virgen del Camino Hospital. Pamplona, Calle Atenas 5, 8ºA (Atenas Street 5, 8ºA), 31016 Navarra, Spain
| | - Nerea Zubicaray Ayestarán
- Department of Otolaryngology and head and neck surgery, Virgen del Camino Hospital. Pamplona, Calle Atenas 5, 8ºA (Atenas Street 5, 8ºA), 31016 Navarra, Spain
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2
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Chen Z, Xiao W, Peng T, Ye L. Inflammatory Myofibroblastic Tumor of the Subglottis: A Rare Case Report. EAR, NOSE & THROAT JOURNAL 2022:1455613221083810. [PMID: 35533683 DOI: 10.1177/01455613221083810] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Inflammatory myofibroblastic tumor (IMT) is a very rare mesenchymal tumor that can behave as a locally benign or aggressive lesion. Here, we present an extremely rare case of IMT involving the subglottic of a middle-aged male. Steroid therapy treatment alleviated dyspnea, but the recurrence of dyspnea was reported two months later. Both sides of the subglottic tumor were excised following treatment, and the surgical specimens were subjected to histopathological evaluation and diagnosis for IMT. At 4 years after excision, follow-up laryngoscopy revealed symmetric vocal cords without evidence of any subglottic mass. Subglottic mass is often asymptomatic until it presents with hoarseness or dyspnea, and subglottic IMT is rare. Based on the successful treatment of our case, complete surgical excision is highly recommended for this rare tumor. However, further research is needed to discover a more effective and cost-effective treatment approach.
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Affiliation(s)
- Zhe Chen
- Department of Otolaryngology Head and Neck Surgery, 89674Zhongnan Hospital of Wuhan University, Wuhan, China
| | - Wei Xiao
- Department of Otolaryngology Head and Neck Surgery, 89674Zhongnan Hospital of Wuhan University, Wuhan, China
| | - Tao Peng
- Department of Otolaryngology Head and Neck Surgery, 89674Zhongnan Hospital of Wuhan University, Wuhan, China
| | - Linfeng Ye
- Department of Otolaryngology Head and Neck Surgery, 89674Zhongnan Hospital of Wuhan University, Wuhan, China
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Smaily H, Cherfane P, Matar N. Pediatric laryngeal inflammatory myofibroblastic tumour: Case report and systematic review of the literature. Auris Nasus Larynx 2020; 48:1047-1053. [PMID: 32878712 DOI: 10.1016/j.anl.2020.08.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2019] [Revised: 07/12/2020] [Accepted: 08/18/2020] [Indexed: 10/23/2022]
Abstract
INTRODUCTION Inflammatory myofibroblastic tumours (IMT) are rare benign neoplasms in the pediatric population, found most frequently in the lungs with rare reports of laryngeal involvement. The aim of this paper is to present a clinical case of laryngeal IMT followed by a systematic review on pediatric laryngeal IMT. CASE REPORT We present the case and the management of a 13-year-old boy with a laryngeal IMT MATERIAL AND METHODS: A comprehensive review of literature was conducted in September 2019 using Pubmed and Scopus. Included articles were reviewed for mean age at presentation, gender, main symptoms, treatment modality, histopathological features and follow-up RESULTS: Sixteen cases of pediatric laryngeal IMT were reported in the literature. The mean age of presentation was 7 years; endoscopic surgical resection was used in 87% of procedures, and the mean number of interventions needed to achieve remission was 1.6. CONCLUSIONS Pediatric laryngeal IMT are rare benign proliferations with only 16 reported case in the medical literature. The diagnosis of this entity remains a challenge and the standard of care is surgery with clear margins.
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Affiliation(s)
- Hussein Smaily
- Otolaryngology Head and Neck Surgery Department, Hotel-Dieu de France Hospital, Saint-Joseph University, Beirut, Lebanon.
| | - Patrick Cherfane
- Otolaryngology Head and Neck Surgery Department, Hotel-Dieu de France Hospital, Saint-Joseph University, Beirut, Lebanon
| | - Nayla Matar
- Otolaryngology Head and Neck Surgery Department, Hotel-Dieu de France Hospital, Saint-Joseph University, Beirut, Lebanon
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4
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Hoshal SG, Wickwire PC, Gandour-Edwards RF, Rajappa P, Cates DJ. Metastatic Renal Cell Carcinoma Presenting as a Rapidly Enlarging Endotracheal Mass Due to Hyperprogression on Anti-PD1 Immunotherapy. EAR, NOSE & THROAT JOURNAL 2020; 100:905S-907S. [PMID: 32466731 DOI: 10.1177/0145561320931215] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Affiliation(s)
- Steven G Hoshal
- Department of Otolaryngology-Head and Neck Surgery, University of California, Davis, Sacramento, CA, USA
| | - Peter C Wickwire
- Department of Otolaryngology-Head and Neck Surgery, University of California, Davis, Sacramento, CA, USA
| | - Regina F Gandour-Edwards
- Department of Pathology and Laboratory Medicine, University of California, Davis, Sacramento, CA, USA
| | - Prabhu Rajappa
- Department of Veterans Affairs, Northern California Healthcare System, Mather, CA, USA
| | - Daniel J Cates
- Department of Otolaryngology-Head and Neck Surgery, University of California, Davis, Sacramento, CA, USA.,Department of Veterans Affairs, Northern California Healthcare System, Mather, CA, USA
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Gómez-Hervás J, Moreno-Romera M, Hugo Escobar Arias F, Merino Gálvez E. Laryngeal Myofibroblastic Tumor: A New Therapeutic Approach. A Case Report. EAR, NOSE & THROAT JOURNAL 2020; 100:NP368-NP372. [PMID: 32283973 DOI: 10.1177/0145561320918741] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Myofibroblastic tumors are rare lesions which can affect any part of the body. Although benign, their mass effect causes symptoms that can become life-threatening. Supraglottic laryngeal involvement is extremely rare, with only 4 cases described in the English literature. Because the pathophysiology is unknown and the incidence is so low, there is no standardized therapeutic management, although for laryngeal tumors surgery has traditionally been the preferred initial option. Another less common option is intravenous and oral corticosteroid therapy, but this is usually reserved for myofibroblastic tumors in other head and neck sites that are more difficult to access surgically, or patients who cannot undergo surgery. These lesions have a very high tendency to recur, and morbidity rates are therefore also high. We present a case of supraglottic myofibroblastic tumor in which we elected high-dose corticosteroid therapy as the only form of treatment. With this new therapeutic approach, we avoided the undesirable effects of the usual type of surgery. At the 12-month follow-up, the patient is in complete remission.
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Howell J, King C, Wiles A, Moore JE. Recurrent Vocal Fold Mass in a Middle-aged Woman. JAMA Otolaryngol Head Neck Surg 2020; 146:71-72. [PMID: 31600371 DOI: 10.1001/jamaoto.2019.2869] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- Jessica Howell
- Department of Otolaryngology-Head and Neck Surgery, Virginia Commonwealth University, Richmond
| | - Caleb King
- Department of Pathology, Virginia Commonwealth University, Richmond
| | - Austin Wiles
- Department of Pathology, Virginia Commonwealth University, Richmond
| | - Jaime E Moore
- Department of Otolaryngology-Head and Neck Surgery, Virginia Commonwealth University, Richmond
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Kaytez SK, Kavuzlu A, Oguz H. Laryngeal Inflammatory Myofibroblastic Tumor With Anemia and Thrombocytosis. EAR, NOSE & THROAT JOURNAL 2019; 100:224-226. [PMID: 31569971 DOI: 10.1177/0145561319874057] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
Inflammatory myofibroblastic tumor (IMT) of the larynx is a rare benign lesion that commonly occurs in the soft tissues. We present the first case with systemic manifestations of laryngeal IMT that was associated with hypochromic, microcytic-type anemia and thrombocytosis.
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Affiliation(s)
- Selda Kargın Kaytez
- Department of Otorhinolaryngology, Ankara Training and Research Hospital, Ankara, Turkey
| | - Ali Kavuzlu
- Department of Otorhinolaryngology, Ankara Training and Research Hospital, Ankara, Turkey
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Elktaibi A, Benzerdjeb N, Ameur F, Daveau C, Tantot J, Costes Martineau V. A Novel ALK-THBS1 Fusion in a Laryngeal Inflammatory Myofibroblastic Tumour: A Case Report and Literature Review. Head Neck Pathol 2019; 14:454-458. [PMID: 31368077 PMCID: PMC7235104 DOI: 10.1007/s12105-019-01061-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/29/2019] [Accepted: 07/26/2019] [Indexed: 10/26/2022]
Abstract
Inflammatory myofibroblastic tumor (IMT) is an uncommon neoplasm most frequently seen in the abdomino-pelvic region and lungs of children and young adults. Laryngeal tumors are rare. We present a case of a 23-year-old patient with a 5 month history of laryngitis and aphonia unresolved by corticotherapy. Laryngoscopy revealed a small, non-ulcerated, subepithelial, polypoid mass arising from the right vocal cord. The diagnosis of IMT with ALK expression was supported by histopathologic and molecular analysis. The THBS1 fusion partner was identified by RNA-sequencing analysis for the first time in a laryngeal IMT. This fusion partner has only been identified in six uterine IMTs thus far. Conservative excision of the lesion yielded excellent functional results for the patient. The voice was preserved and no recurrences were seen after 6 months of follow-up.
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Affiliation(s)
- Abderrahim Elktaibi
- grid.157868.50000 0000 9961 060XDepartment of Pathology, CHU Montpellier, Montpellier, France
| | - Nazim Benzerdjeb
- grid.413852.90000 0001 2163 3825Department of Pathology, CHU Lyon, Lyon, France
| | - Fatima Ameur
- grid.413852.90000 0001 2163 3825Department of Radiology, CHU Lyon, Lyon, France
| | - Clementine Daveau
- grid.413852.90000 0001 2163 3825Department of Surgery, CHU Lyon, Lyon, France
| | - Juliet Tantot
- grid.413852.90000 0001 2163 3825Department of Pathology, CHU Lyon, Lyon, France
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Cervera Escario J, Sirvent Cerdá S, Santos Santos S, Sequeiros González A. Subglottis Inflammatory Pseudotumour in a 3-Year-old Child. ACTA OTORRINOLARINGOLOGICA ESPANOLA 2018. [DOI: 10.1016/j.otoeng.2017.04.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
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Cervera Escario J, Sirvent Cerdá S, Santos Santos S, Sequeiros González A. Subglottis inflammatory pseudotumour in a 3-year-old child. ACTA OTORRINOLARINGOLOGICA ESPANOLA 2017; 69:175-177. [PMID: 28803633 DOI: 10.1016/j.otorri.2017.04.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2017] [Revised: 04/25/2017] [Accepted: 04/30/2017] [Indexed: 10/19/2022]
Affiliation(s)
- Javier Cervera Escario
- Servicio de Otorrinolaringología Pediátrica, Hospital Universitario Niño Jesús, Madrid, España.
| | - Sara Sirvent Cerdá
- Servicio de Radiodiagnóstico, Hospital Universitario Niño Jesús, Madrid, España
| | - Saturnino Santos Santos
- Servicio de Otorrinolaringología Pediátrica, Hospital Universitario Niño Jesús, Madrid, España
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Pierry C, Pérot G, Karanian-Philippe M, Neuville A, Gomez-Brouchet A, Crestani S, Coindre JM. Polypoid laryngeal inflammatory myofibroblastic tumors: misleading lesions: description of six cases showing ALK overexpression. Am J Clin Pathol 2015; 144:511-6. [PMID: 26276782 DOI: 10.1309/ajcpcg8d6jaqbvlg] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Abstract
OBJECTIVES Laryngeal inflammatory myofibroblastic tumors (IMTs) are rarely reported in the literature but may be underrecognized. To better characterize their features, we report a series of six cases. METHODS The clinicopathologic findings, including immunohistochemistry, fluorescence in situ hybridization (FISH) analysis, and follow-up, were evaluated and a review of the literature was performed. RESULTS These cases presented as small polypoid vocal cord or ventricular band lesions, with a more advanced mean age at diagnosis (49 years) than typically reported in other localizations. Apart from one secondary revision surgery, no complementary treatment and no recurrences were observed. Histologically, various morphologic features were seen. All tumors were spindle cell proliferations on a myxoid background with more or less atypia and significant inflammatory infiltrate. All six cases showed anaplastic lymphoma kinase (ALK) immunohistochemical expression. FISH rearrangement was present in four of six cases. Only two cases were initially diagnosed as IMT. CONCLUSIONS According to our series, laryngeal IMTs are easily misdiagnosed. They have a good prognosis, and ALK immunohistochemistry should be carried out to assess this diagnosis when spindle cell proliferations are observed in this localization.
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Affiliation(s)
- Clémence Pierry
- Department of Biopathology, Institut Bergonié, Bordeaux, France
| | - Gaëlle Pérot
- Department of Biopathology, Institut Bergonié, Bordeaux, France
| | - Marie Karanian-Philippe
- Department of Biopathology, Institut Bergonié, Bordeaux, France
- Université Bordeaux, Bordeaux, France
| | - Agnès Neuville
- Department of Biopathology, Institut Bergonié, Bordeaux, France
- Université Bordeaux, Bordeaux, France
| | - Anne Gomez-Brouchet
- Department of Pathology, Rangueil University Hospital, Toulouse, France; and
| | - Sabine Crestani
- ENT and Maxillofacial Surgery Department, Larrey University Hospital, Toulouse, France
| | - Jean-Michel Coindre
- Department of Biopathology, Institut Bergonié, Bordeaux, France
- Université Bordeaux, Bordeaux, France
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