Pulmonary Inflammatory Myofibroblastic Tumor

Inflammatory Myofibroblastic Tumors in Paranasal Sinus and Nasopharynx
Inflammatory Myofibroblastic Tumors in Paranasal Sinus and Nasopharynx administrator 5 Views • 2 years ago

Medicine by Alexandros G. Sfakianakis,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,00302841026182,00306932607174,alsfakia@gmail.com,
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: A Clinical Retrospective Study of 13 Cases
via BioMed Research International
Background. Inflammatory myofibroblastic tumor (IMT), as a mesenchymal tumor, is common in the lung and abdomen but rare in the paranasal sinus and nasopharynx. Objective. This study aimed to summarize the clinical characteristics of IMT in the paranasal sinus and nasopharynx and analyze the relationship between the treatment and the overall survival (OS). Method. The clinical features, treatment, and follow-up data of patients diagnosed with IMT of the paranasal sinus or nasopharynx from 2006 to 2017 were retrospectively analyzed, and the previous literature was reviewed. Results. IMT often presents as an ill-defined soft-tissue mass with bone destruction and invasion of surrounding structures. The treatment methods used in this study were different combinations of surgery, prednisone, radiotherapy, and chemotherapy or observation alone. Three of the 13 patients were lost and the follow-up time of the remaining 10 cases ranged from 2 to 87 months (median, 39 months). Two patients died of the disease; the other eight patients were stable. The 5-year survival rate was 72%. Among the four methods of treatment, only treatment with prednisone was significantly correlated with better OS (P = 0.046). Conclusions. IMT is an intermediate tumor that often mimics malignancy. We are not sure if IMTs in the nasal cavity are more aggressive because of the biology or if the location and local therapy in the head region is more complicated. Radiologic findings help know the extent of the lesion. For unresectable nasal IMT, combined therapy with glucocorticoids, chemotherapy, and radiotherapy is sometimes a better choice. Glucocorticoids are especially recommended as a basic part of the integrated therapy. However, the standard treatment needs further research.
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STR Cardiothoracic Case Webinar 6/25/2020
STR Cardiothoracic Case Webinar 6/25/2020 administrator 2 Views • 2 years ago

00:15 - extremely large malignant phyllodes tumor of the breast
1:34 - silicone leakage from breast implant into pleural space following sympathetic ganglion surgery
5:24 - presumed pulmonary capillary hemangiomatosis
12:02 - endocardial fibroelastosis in patient with history of coarctation of aorta and Wolff-Parkinson-White syndrome
15:50 - cardiac paraganglioma vs. angiosarcoma
20:19 - IVC intramural hematoma
22:51 - pulmonary hemorrhage from cocaine inhalation
24:36 - malignant metastatic germ cell tumor in mediastinum in patient with Klinefelter syndrome
26:40 - pleuroparenchymal fibroelastosis
29:02 - pulmonary adenocarcinoma with secondary micropapillary component and visceral pleural involvement
31:50 - rapidly progressing fibrosis in patient with ANCA-associated vasculitis
34:08 - another case of rapidly fibrosis in patient with Sjogren syndrome
36:43 - STAT-6 positive solitary fibrous tumor
38:22 - inflammatory myofibroblastic tumor with ALK rearrangement presenting as incidental lung nodule
40:35 - intra-tracheal metastasis from clear cell renal cancer
41:10 - interstitial fibrosing lung disorder that is hard to classify; indeterminate for UIP
49:28 - pseudoaneurysm on right inferior epigastric artery following cardiac catheterization
50:32- abscess cavities seen in infected aortic root
52:53 - transseptal course of anomalous left main coronary artery

Time stamps courtesy of Matthew Pavlica, NYITCOM

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