Limits...
Inflammatory myofibroblastic tumor of the thigh: presentation of a rare case and review of the literature.

Savvidou OD, Sakellariou VI, Papakonstantinou O, Skarpidi E, Papagelopoulos PJ - Case Rep Orthop (2015)

Bottom Line: Inflammatory myofibroblastic tumors are uncommon neoplasms; presentation of these tumors in the lower extremities is extremely rare.We present a case of a 47-year-old male with fever, fatigue, and a slow-growing thigh mass.No adjuvant therapy was needed and the patient remained asymptomatic with no evidence of tumor recurrence during the 2 years of follow-up.

View Article: PubMed Central - PubMed

Affiliation: 1st Department of Orthopaedics, Athens University Medical School, Attikon University General Hospital, 1 Rimini Street, Chaidari, 12462 Athens, Greece.

ABSTRACT
Inflammatory myofibroblastic tumors are uncommon neoplasms; presentation of these tumors in the lower extremities is extremely rare. We present a case of a 47-year-old male with fever, fatigue, and a slow-growing thigh mass. The inflammatory markers were elevated and the MR images showed a well-defined intermuscular lesion with mild heterogeneous enhancement. The lesion was excised and histologic examination was consistent with an inflammatory myofibroblastic tumor. No adjuvant therapy was needed and the patient remained asymptomatic with no evidence of tumor recurrence during the 2 years of follow-up.

No MeSH data available.


Related in: MedlinePlus

(a) Axial T1-weighted TSE image shows a hypointense intermuscular mass. (b) The mass is inhomogenously hyperintense on an axial T2-weighted TSE fat suppressed image. (c) Axial T1-weighted TSE image with fat suppression after intravenous administration of gadolinium exhibits faint in homogenous enhancement of the lesion.
© Copyright Policy
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4402203&req=5

fig1: (a) Axial T1-weighted TSE image shows a hypointense intermuscular mass. (b) The mass is inhomogenously hyperintense on an axial T2-weighted TSE fat suppressed image. (c) Axial T1-weighted TSE image with fat suppression after intravenous administration of gadolinium exhibits faint in homogenous enhancement of the lesion.

Mentions: Radiographically, the mass had no calcifications. The chest X-ray was normal. Magnetic resonance imaging (MRI) of the thigh demonstrated a well-circumscribed mass, located in the intermuscular space between the vastus medialis, the vastus intermedius, and the adductor muscles. The mass was measured 8.5 × 6.6 × 5.8 cm. The lesion was characterized by low signal intensity on the T1-weighted images (Figure 1(a)); heterogeneous high signal intensity on T2-weighted images with fat suppression (Figure 1(b)) and mild enhancement on T1 contrast enhanced MR images (Figure 1(c)). Multiple hypointense spots within the mass were apparent in all sequences and were attributed in foci of hemosiderin deposition.


Inflammatory myofibroblastic tumor of the thigh: presentation of a rare case and review of the literature.

Savvidou OD, Sakellariou VI, Papakonstantinou O, Skarpidi E, Papagelopoulos PJ - Case Rep Orthop (2015)

(a) Axial T1-weighted TSE image shows a hypointense intermuscular mass. (b) The mass is inhomogenously hyperintense on an axial T2-weighted TSE fat suppressed image. (c) Axial T1-weighted TSE image with fat suppression after intravenous administration of gadolinium exhibits faint in homogenous enhancement of the lesion.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4402203&req=5

fig1: (a) Axial T1-weighted TSE image shows a hypointense intermuscular mass. (b) The mass is inhomogenously hyperintense on an axial T2-weighted TSE fat suppressed image. (c) Axial T1-weighted TSE image with fat suppression after intravenous administration of gadolinium exhibits faint in homogenous enhancement of the lesion.
Mentions: Radiographically, the mass had no calcifications. The chest X-ray was normal. Magnetic resonance imaging (MRI) of the thigh demonstrated a well-circumscribed mass, located in the intermuscular space between the vastus medialis, the vastus intermedius, and the adductor muscles. The mass was measured 8.5 × 6.6 × 5.8 cm. The lesion was characterized by low signal intensity on the T1-weighted images (Figure 1(a)); heterogeneous high signal intensity on T2-weighted images with fat suppression (Figure 1(b)) and mild enhancement on T1 contrast enhanced MR images (Figure 1(c)). Multiple hypointense spots within the mass were apparent in all sequences and were attributed in foci of hemosiderin deposition.

Bottom Line: Inflammatory myofibroblastic tumors are uncommon neoplasms; presentation of these tumors in the lower extremities is extremely rare.We present a case of a 47-year-old male with fever, fatigue, and a slow-growing thigh mass.No adjuvant therapy was needed and the patient remained asymptomatic with no evidence of tumor recurrence during the 2 years of follow-up.

View Article: PubMed Central - PubMed

Affiliation: 1st Department of Orthopaedics, Athens University Medical School, Attikon University General Hospital, 1 Rimini Street, Chaidari, 12462 Athens, Greece.

ABSTRACT
Inflammatory myofibroblastic tumors are uncommon neoplasms; presentation of these tumors in the lower extremities is extremely rare. We present a case of a 47-year-old male with fever, fatigue, and a slow-growing thigh mass. The inflammatory markers were elevated and the MR images showed a well-defined intermuscular lesion with mild heterogeneous enhancement. The lesion was excised and histologic examination was consistent with an inflammatory myofibroblastic tumor. No adjuvant therapy was needed and the patient remained asymptomatic with no evidence of tumor recurrence during the 2 years of follow-up.

No MeSH data available.


Related in: MedlinePlus