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Journal of Radiological Review 2020 May-June;7(3):229-32

DOI: 10.23736/S2723-9284.20.00030-6

Copyright © 2020 EDIZIONI MINERVA MEDICA

language: English, Italian

Atypical localization of pulmonary inflammatory myofibroblastic tumor

Laura GRECO 1, Stefano G. PICCHI 2 , Giulia LASSANDRO 2, Laura MARCOLIN 3, Michelangelo BALDAZZI 1, Filomena CARFAGNINI 1, Donatella VIVACQUA 1, Francesco MONTEDURO 3

1 Unit of Pediatric Radiology, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy; 2 Department of Advanced Biomedical Sciences, Federico II University, Naples, Italy; 3 Unit of Radiology, Department of Diagnostic Medicine and Prevention, S. Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy


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Pulmonary inflammatory myofibroblastic tumor (PIMT) is a rare clinical entity with malignant potential and unclear pathophysiology that mainly occurs in children and young adults. Its clinical presentation and radiological features are non-specific and therapeutic approach consists in complete surgical excision of the lesion. We here present a case report of a 3-years-old female child taken to the Emergency Department by her parents due to fever, cough and pleuritic pain starting one week before and persistent after antibiotic therapy. The lesion was diagnosed as PIMT by chest X-ray, ultrasonography (US) and computed tomography (CT). The child underwent an explorative thoracoscopy with biopsy of the lung lesion and after histopathology report confirmed a PIMT, the left upper lobectomy by thoracotomy was performed.


KEY WORDS: Humans; Infant; Thorax; Granuloma, plasma cell

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