Abstract
BackgroundInflammatory myofibroblastic tumor (IMT) is a rare tumor with malignant potential. We presented a case of a young adult who was diagnosed with IMT and treated with loop electrocautery therapy to relieve airway obstruction, followed by lobectomy to complete resection. Recent studies have supported the use of such interventional resection methods.Case presentationA non-smoking 30-year-old woman presented with a 1-month history of progressive dyspnea and productive cough. The Chest X-ray showed a homogenous opacity invading the entire left hemithorax, and the mediastinum content was attracted to the left side. In an effort to avoid pneumonectomy and afford rapid palliation of dyspnea, loop electrocautery was selected as the most appropriate therapy. The left upper lobectomy by thoracoscopy was performed instead of left upper lobe sleeve resection in order to better prevent the recurrence of lung atelectasis. After 6 years of follow-up, no evidence of recurrence has been found till now.ConclusionInterventional bronchoscopy coupled with surgical resection serves not only as a palliative management to bronchial obstruction but also a way to avoid pneumonectomy.
Highlights
Inflammatory myofibroblastic tumor (IMT), first described by Brunn in 1939 [1], is a rare disease entity [2], known as plasma cell granuloma or inflammatory pseudotumor
We presented a case of IMT which was successfully removed by interventional bronchoscopy plus lobectomy [8]
Her Chest X-ray showed a homogenous opacity invading the entire left hemithorax, and the mediastinum content was attracted to the left side
Summary
Interventional bronchoscopy coupled with surgical resection serves as a palliative management to bronchial obstruction and a way to avoid pneumonectomy.
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