Ray Animesh, Suri J C, Bhattacharya Dipak, Gupta Ayush
Department of Pulmonary Critical Care and Sleep Medicine, VMMC and Safdarjang Hospital, New Delhi, India.
Lung India. 2014 Apr;31(2):172-5. doi: 10.4103/0970-2113.129866.
Inflammatory myofibroblastic tumour (IMT) is a rare tumour affecting the tracheo-bronchial tree in the adult population. The clinical presentation of this tumour is diverse and diagnosis can be definitively clinched by histopathological examination. Treatment of this tumour usually requires surgical resection with bronchoscopic resection being described in few cases. We describe a 32 year old male presenting with hemoptysis who was diagnosed to have IMT. Resection of the tumour was done with the help of rigid bronchoscopy. Post-resection, hemoptysis stopped and no recurrence of tumour was noted on subsequent follow-up. We also present a systematic review of literature of all the cases of tracheo-bronchial IMT treated with bronchoscopic resection and conclude it to be a useful alternative to surgery in such cases.
炎性肌成纤维细胞瘤(IMT)是一种罕见的肿瘤,影响成年人群的气管支气管树。该肿瘤的临床表现多样,通过组织病理学检查可明确诊断。这种肿瘤的治疗通常需要手术切除,少数病例描述了支气管镜切除。我们报告一名32岁男性,因咯血就诊,诊断为IMT。在硬质支气管镜的帮助下切除了肿瘤。切除术后,咯血停止,后续随访未发现肿瘤复发。我们还对所有经支气管镜切除治疗的气管支气管IMT病例的文献进行了系统综述,并得出结论,在这类病例中,支气管镜切除是手术的一种有用替代方法。