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Year : 2010  |  Volume : 6  |  Issue : 2  |  Page : 224-226

Inflammatory myofibroblastic tumor presenting as an abdominal wall mass in an adult patient

1 Department of Surgery, Faculty of Medicine, Trakya University, Edirne, Turkey
2 Department of Pathology, Faculty of Medicine, Trakya University, Edirne, Turkey
3 Department of Medical Oncology, Faculty of Medicine, Trakya University, Edirne, Turkey
4 Department of Radiology, Faculty of Medicine, Trakya University, Edirne, Turkey

Correspondence Address:
Atakan Sezer
Trakya University, Faculty of Medicine, Department of General Surgery, Edirne, 22030
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0973-1482.65243

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Inflammatory myofibroblastic tumor of the abdominal wall is a rare soft-tissue tumor presentation in adults. A 50-year-old woman was referred with abdominal pain and a palpable mass in the left lower quadrant. Computed tomography scan and magnetic resonance investigation revealed an 8-cm heterogeneous abdominal wall mass. Tumor markers were within normal limits. Fine-needle aspiration cytology and tru-cut biopsies yielded necrotic material. A preoperative diagnosis of a resectable rhabdomyosarcoma was suggested. On exploration a tumor measuring 8 x 8 x 6 cm was resected along with the involved structures. Histopathologic examination of specimen revealed an inflammatory myofibroblastic tumor of the abdominal wall. The patient has been followed up for the last 12 months without clinical or radiographic evidence of recurrence. Inflammatory myofibroblastic tumor arising from the anterior abdominal wall in adults is an unusual manifestation of soft-tissue tumors, which can be managed by a multidisciplinary team of surgeons, oncologists, radiologists and pathologists.

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