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Revista mexicana de urología
versión On-line ISSN 2007-4085versión impresa ISSN 0185-4542
Resumen
AYERRA-PEREZ, Héctor; HERRERA-ARANDA, Natalia; IGLESIAS-MARTINEZ, Erika y EXTRAMIANA-CAMENO, Javier. Inflammatory myofibroblastic tumor. An aggressive case report. Rev. mex. urol. [online]. 2022, vol.82, n.6, e08. Epub 20-Mar-2023. ISSN 2007-4085. https://doi.org/10.48193/revistamexicanadeurologa.v82i6.923.
Clinic case:
We present an extraordinary case report from a male diagnosed with Inflammatory Myofibroblastic Tumors (IMT) after suddenly presenting with a haemorrhagic shock due to hematuria. He underwent a partial cystectomy to achieve the complete resection and confirm the pathologic diagnosis. After the complete resection, he is free of relapse.
Relevance:
Our case report shows an extraordinary aggressiveness and a life-threatening disease course. The final pathologic exam confirmed the diagnosis and reported the pathologic correlation with the radiological findings of such an infrequent entity.
Clinical implications:
Although infrequent, IMT might present aggressively. After the initial clinical and radiological suspicion, finding must be confirmed by the complete resection and the pathologic exam.
Conclusion:
The early diagnosis enables the complete resection of the tumor, which is the most determinant prognostic factor. Selected patients with unresectable lesions might also benefit from adjuvant treatment with ALK-inhibitors.
Palabras llave : inflammatory myofibroblastic tumor; inflammatory pseudotumor; inflammatory fibrosarcoma; plasma cell granuloma; anaplastic; lymphoma kinase inhibitors.