Cabral Daniel, Rodrigues Cristina, Almodovar Teresa, Ribeiro Analisa, Mota Leonor, Félix Francisco
Thoracic Surgery Department, CHLN, Lisboa, Portugal.
1Thoracic Surgery Department, CHLN, Lisboa, Portugal.
Rev Port Cir Cardiotorac Vasc. 2020 Apr-Jun;27(2):129-130.
Inflammatory myofibroblastic tumours (IMTs) are rare lesions. We report a case of a 55 year-old male, admitted with a pneumonia. Further investigation revealed a left lower lobe mass and enlarged mediastinal lymph nodes. Cytology of the bronchoalveolar lavage suggested a squamous cell carcinoma. He received four cycles of chemotherapy followed by a left lower lobectomy. Pathological analysis was compatible with IMT. Three months after surgery, a new IMT nodule located in the lingula was excised. Four months later,endobronchial involvement and the presence of liver nodules were detected.Ten months after the first surgery a CT revealed a sacrum lesion. Histology was compatible with undifferentiated sarcoma and a sarcomatous transformation was assumed.
