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Inflammatory Myofibroblastic Tumor Presenting as a Large Mass and a Spontaneously Resolving Nodule in the Lung

Bilaceroglu, Semra MD, FCCP*; Gursoy, Soner MD; Yücel, Nur MD; Ozbilek, Engin MD§

Journal of Bronchology & Interventional Pulmonology: October 2009 - Volume 16 - Issue 4 - p 286-289
doi: 10.1097/LBR.0b013e3181bdbad9
Case Reports

A 21-year-old woman presented with nausea, vomiting, decrease in appetite, and weight loss of 6 months and right chest pain of 5 days' duration. Earlier diagnostic work-ups had been inconclusive, and she was referred for the evaluation of the bilateral lung lesions as seen on her chest x-ray. Thoracic computed tomography scan showed a 6-cm mass in the right lower lobe, a minimal right pleural effusion, and a peripheral 2-cm cavitary nodule in the inferior lingular segment. Ultrasonography-guided transthoracic cutting needle biopsy of the right-sided mass and following right lower lobectomy both yielded benign specimens pathologically assessed as “inflammatory myofibroblastic tumor.” The chest x-ray and thoracic computed tomography scans obtained 1 month following the thoracotomy showed spontaneous and almost complete resolution of the left-sided nodule. In follow-up 1 year after the surgery, no clinical, laboratory, or radiologic recurrence was detected. She is being closely followed as an outpatient.

Departments of *Pulmonary Medicine

Thoracic Surgery

Pathology

§Nuclear Medicine, Izmir Training and Research Hospital for Thoracic Medicine and Surgery, Izmir, Turkey

Reprints: Semra Bilaceroglu, MD, FCCP, 6173 Sokak, Kardelen Apt. No: 9 Daire: 22, 35560 Bostanli-Izmir, Turkey (e-mail: s.bilaceroglu@gmail.com).

Received for publication August 3, 2009; accepted August 24, 2009

There is no conflict of interest.

© 2009 Lippincott Williams & Wilkins, Inc.