口底部に発生した炎症性筋線維芽細胞腫の1例

Inflammatory myofibroblastic tumors (IMT) are spindle cell proliferations with a characteristic fibro-inflammatory appearance, originally referred to as an inflammatory pseudotumors or plasma cell granulomas. We report a case of IMT in the floor of the mouth of a 41-year old female. The patient had...

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Published in日本口腔外科学会雑誌 Vol. 67; no. 7; pp. 433 - 437
Main Authors 菅原, 圭亮, 伊藤, 和宏, 橋本, 和彦, 片倉, 朗, 別所, 央城, 松坂, 賢一
Format Journal Article
LanguageJapanese
Published 社団法人 日本口腔外科学会 20.07.2021
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ISSN0021-5163
2186-1579
DOI10.5794/jjoms.67.433

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Abstract Inflammatory myofibroblastic tumors (IMT) are spindle cell proliferations with a characteristic fibro-inflammatory appearance, originally referred to as an inflammatory pseudotumors or plasma cell granulomas. We report a case of IMT in the floor of the mouth of a 41-year old female. The patient had a tumor in the floor of her mouth, measuring 35 × 30 × 20 mm. Magnetic resonance imaging (MRI) showed a lesion with high signal intensity on T1-weighted images. We performed resection under local anesthesia. Histological examination of the surgically removed lesion showed that the proliferative spindle cell was found inside the lipoma. There was no evidence of recurrence after five years. IMT are usually benign, however there are also reports of recurrence and malignant transformation. Careful long-term follow-up using MRI etc. is thought to be necessary.
AbstractList Inflammatory myofibroblastic tumors (IMT) are spindle cell proliferations with a characteristic fibro-inflammatory appearance, originally referred to as an inflammatory pseudotumors or plasma cell granulomas. We report a case of IMT in the floor of the mouth of a 41-year old female. The patient had a tumor in the floor of her mouth, measuring 35 × 30 × 20 mm. Magnetic resonance imaging (MRI) showed a lesion with high signal intensity on T1-weighted images. We performed resection under local anesthesia. Histological examination of the surgically removed lesion showed that the proliferative spindle cell was found inside the lipoma. There was no evidence of recurrence after five years. IMT are usually benign, however there are also reports of recurrence and malignant transformation. Careful long-term follow-up using MRI etc. is thought to be necessary.
Author 松坂, 賢一
橋本, 和彦
伊藤, 和宏
片倉, 朗
別所, 央城
菅原, 圭亮
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References 5) Araki M, Hashimoto K, et al : Plasma cell Granuloma with severe cortical bone destruction of the mandible appearing as a malignant lesion – a case report. Oral Radiol 18: 45-51, 2002.
17) 篠原珠緒, 渡邊 敦, 他:腫瘍生検の染色体転座の同定によって診断確定された炎症性筋線維芽細胞腫の1例.日小児血がん会誌 53: 289-293, 2016.
8) Satomi T, Watanabe M, et al : A successfully treated inflammatory myofibroblastic tumor of the mandible with long-term follow-up and review of the literature. Med Mol Morphol 43: 185-191, 2010.
15) Griffin CA, Hawkins AL, et al : Recurrent involvement of 2p23 in inflammatory myofibroblastic tumor. Cancer Res 59: 2776-2780, 1999.
23) 末次彩子, 山元英崇, 他:急速に進行した炎症性筋線維芽細胞腫の1例.日呼吸会誌 47: 1156-1159, 2009.
4) Ide F, Shimoyama T, et al : Inflammatory pseudotumor in the mandibular retromolar region. J Oral Pathol Med 27: 508-510, 1998.
9) 青田桂子: 下顎骨に発生した炎症性筋線維芽細胞性腫瘍の1例.日口外誌 51: 89-92, 2005.
14) Coffin CM, Humphrey PA, et al : Extrapulmonary inflammatory myofibroblastic tumor: A clinical and pathological survey: Semin Diagn Pathol. 15: 85-101, 1998.
16) LaVigne AW, Meredith DM, et al : Treatment-refractory ALK-positive inflammatory myofibroblastic tumour of the oral cavity. BMJ Case Reports. doi: 10.1136/bcr-2017-221553, 2018.
22) 寺尾恭一, 藤原良平, 他:診断に苦慮した上顎炎症性線維肉腫の1例.頭頸部外 23: 317-321, 2014.
21) AlKindi MG : A rare case of inflammatory myofibroblastic tumor of the mandible mimicking a malignant tumor. Saudi Dent J 29: 36-40, 2017.
19) 市原明子:12年後に再切除した腹腔内筋線維芽細胞性腫瘍の1例.日臨外会誌 72: 1579-1583, 2011.
1) Pettinato G, Manivel JC, et al : Inflammatory myofibroblastic tumor (plasma cell granuloma). Clinicopathologic study of 20 cases with immunohistochemical and ultrastructural observation. Am J Clin Pathol 94: 538-546, 1990.
20) Korlepara R, Guttikonda VR, et al : Inflammatory myofibroblastic tumor of mandible: A rare case report and review of literature. J Oral Maxillofac Pathol 21: 136-139, 2017.
3) Inui M, Tagawa T, et al : Inflammatory pseudotumor in the submandibular region. J Oral Pathol Med 27: 333-337, 1993.
10) 井上博文, 藤田 勝, 他:炎症性筋線維芽細胞性腫瘍の一例.日臨細胞会岡山会誌 24: 24-25, 2005.
24) Bieselli R, Ferlini C, et al : Inflammatory myofiblastic tumor (inflammatory pseudotumor): DNA flow cytometric analysis of nine pediatric cases. Cancer 77: 778-784, 1996.
12) 橋本 洋:炎症性筋線維芽細胞性腫瘍および炎症性線維肉腫:炎症性偽腫瘍の中での位置付け.病理と臨床 18: 95-101, 2000.
2) Coffin CM, Watterson J, et al : Extrapulmonary inflammatory myofibroblastic tumor (inflammatory pseudotumor): A clinicopathologic and immunohistochemical study of 84 cases.Am j Surg Pathol 19: 859-872, 1995.
6) 伊藤 章, 石橋美樹, 他:下顎骨に発生したinflammatory myofibroblastic tumorの1例.日口外誌 53: 435-438, 2007.
11) Ide F, Shimoyama T, et al : Sclerosing inflammatory myofibroblastic tumour of the tongue: animmunohistochemical and ultrastructual study. Oral Oncology 36: 300-304, 2000.
13) 金子直征, 三浦 康, 他: 腹壁に発生した炎症性筋線維芽細胞性腫瘍の1例. 日臨外会誌 68: 2092-2098, 2007.
7) 里見貴史, 松田憲一, 他:13歳女児の下顎に発生した炎症性筋線維芽細胞性腫瘍の1例.小児口外 19: 35-39, 2009.
18) 辻 敏克, 芝原一繁, 他:胸壁皮下に発生した炎症性筋線維芽細胞腫の1例.日臨外会誌 75: 911-916, 2014.
References_xml – reference: 6) 伊藤 章, 石橋美樹, 他:下顎骨に発生したinflammatory myofibroblastic tumorの1例.日口外誌 53: 435-438, 2007.
– reference: 5) Araki M, Hashimoto K, et al : Plasma cell Granuloma with severe cortical bone destruction of the mandible appearing as a malignant lesion – a case report. Oral Radiol 18: 45-51, 2002.
– reference: 19) 市原明子:12年後に再切除した腹腔内筋線維芽細胞性腫瘍の1例.日臨外会誌 72: 1579-1583, 2011.
– reference: 10) 井上博文, 藤田 勝, 他:炎症性筋線維芽細胞性腫瘍の一例.日臨細胞会岡山会誌 24: 24-25, 2005.
– reference: 17) 篠原珠緒, 渡邊 敦, 他:腫瘍生検の染色体転座の同定によって診断確定された炎症性筋線維芽細胞腫の1例.日小児血がん会誌 53: 289-293, 2016.
– reference: 20) Korlepara R, Guttikonda VR, et al : Inflammatory myofibroblastic tumor of mandible: A rare case report and review of literature. J Oral Maxillofac Pathol 21: 136-139, 2017.
– reference: 11) Ide F, Shimoyama T, et al : Sclerosing inflammatory myofibroblastic tumour of the tongue: animmunohistochemical and ultrastructual study. Oral Oncology 36: 300-304, 2000.
– reference: 7) 里見貴史, 松田憲一, 他:13歳女児の下顎に発生した炎症性筋線維芽細胞性腫瘍の1例.小児口外 19: 35-39, 2009.
– reference: 2) Coffin CM, Watterson J, et al : Extrapulmonary inflammatory myofibroblastic tumor (inflammatory pseudotumor): A clinicopathologic and immunohistochemical study of 84 cases.Am j Surg Pathol 19: 859-872, 1995.
– reference: 3) Inui M, Tagawa T, et al : Inflammatory pseudotumor in the submandibular region. J Oral Pathol Med 27: 333-337, 1993.
– reference: 4) Ide F, Shimoyama T, et al : Inflammatory pseudotumor in the mandibular retromolar region. J Oral Pathol Med 27: 508-510, 1998.
– reference: 9) 青田桂子: 下顎骨に発生した炎症性筋線維芽細胞性腫瘍の1例.日口外誌 51: 89-92, 2005.
– reference: 24) Bieselli R, Ferlini C, et al : Inflammatory myofiblastic tumor (inflammatory pseudotumor): DNA flow cytometric analysis of nine pediatric cases. Cancer 77: 778-784, 1996.
– reference: 15) Griffin CA, Hawkins AL, et al : Recurrent involvement of 2p23 in inflammatory myofibroblastic tumor. Cancer Res 59: 2776-2780, 1999.
– reference: 14) Coffin CM, Humphrey PA, et al : Extrapulmonary inflammatory myofibroblastic tumor: A clinical and pathological survey: Semin Diagn Pathol. 15: 85-101, 1998.
– reference: 21) AlKindi MG : A rare case of inflammatory myofibroblastic tumor of the mandible mimicking a malignant tumor. Saudi Dent J 29: 36-40, 2017.
– reference: 23) 末次彩子, 山元英崇, 他:急速に進行した炎症性筋線維芽細胞腫の1例.日呼吸会誌 47: 1156-1159, 2009.
– reference: 22) 寺尾恭一, 藤原良平, 他:診断に苦慮した上顎炎症性線維肉腫の1例.頭頸部外 23: 317-321, 2014.
– reference: 8) Satomi T, Watanabe M, et al : A successfully treated inflammatory myofibroblastic tumor of the mandible with long-term follow-up and review of the literature. Med Mol Morphol 43: 185-191, 2010.
– reference: 16) LaVigne AW, Meredith DM, et al : Treatment-refractory ALK-positive inflammatory myofibroblastic tumour of the oral cavity. BMJ Case Reports. doi: 10.1136/bcr-2017-221553, 2018.
– reference: 13) 金子直征, 三浦 康, 他: 腹壁に発生した炎症性筋線維芽細胞性腫瘍の1例. 日臨外会誌 68: 2092-2098, 2007.
– reference: 1) Pettinato G, Manivel JC, et al : Inflammatory myofibroblastic tumor (plasma cell granuloma). Clinicopathologic study of 20 cases with immunohistochemical and ultrastructural observation. Am J Clin Pathol 94: 538-546, 1990.
– reference: 18) 辻 敏克, 芝原一繁, 他:胸壁皮下に発生した炎症性筋線維芽細胞腫の1例.日臨外会誌 75: 911-916, 2014.
– reference: 12) 橋本 洋:炎症性筋線維芽細胞性腫瘍および炎症性線維肉腫:炎症性偽腫瘍の中での位置付け.病理と臨床 18: 95-101, 2000.
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SubjectTerms 口底部
炎症性筋線維芽細胞腫
良性偽腫瘍
Title 口底部に発生した炎症性筋線維芽細胞腫の1例
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