Steroid responsive inflammatory myofibroblastic tumor of the lung evaluated by FDG PET/CT imaging

A 68-year-old gentleman was referred for 18F-FDG PET/CT for a pulmonary mass in the left upper lobe which demonstrated intensely FDG-avid confluent pulmonary consolidation in the left upper lobe (SUVmax 15.1). Histopathologic biopsy of the left upper lobe lung mass was consistent with inflammatory m...

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Main Authors: James Yuheng Jiang, MD, MMed, Monica Comsa, MD, FRACP, Veronica Chi Ken Wong, MBBS, FRACP, FAANMS, Robert Mansberg, MBBS, FRACP, FAANMS
Format: Article
Language:English
Published: Elsevier 2022-03-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043321008335
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author James Yuheng Jiang, MD, MMed
Monica Comsa, MD, FRACP
Veronica Chi Ken Wong, MBBS, FRACP, FAANMS
Robert Mansberg, MBBS, FRACP, FAANMS
author_facet James Yuheng Jiang, MD, MMed
Monica Comsa, MD, FRACP
Veronica Chi Ken Wong, MBBS, FRACP, FAANMS
Robert Mansberg, MBBS, FRACP, FAANMS
author_sort James Yuheng Jiang, MD, MMed
collection DOAJ
description A 68-year-old gentleman was referred for 18F-FDG PET/CT for a pulmonary mass in the left upper lobe which demonstrated intensely FDG-avid confluent pulmonary consolidation in the left upper lobe (SUVmax 15.1). Histopathologic biopsy of the left upper lobe lung mass was consistent with inflammatory myofibroblastic tumor (IMT). The patient was started on steroid treatment in conjunction with antibiotics. Follow-up FDG PET/CT 3 weeks after commence of treatment showed remarkable response of the IMTs to therapy with much less avid FDG uptake (SUVmax 5.4) and marked improvement in the pulmonary consolidation. Nevertheless, the patient underwent left upper lobe lobectomy due to evidence of persistent cystic disease and malignant potential associated with IMTs. Final histopathology was consistent with IMT with no evidence of malignancy.
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spelling doaj.art-4bbbf459c65048849159a4da148799fc2022-12-21T19:36:43ZengElsevierRadiology Case Reports1930-04332022-03-01173907910Steroid responsive inflammatory myofibroblastic tumor of the lung evaluated by FDG PET/CT imagingJames Yuheng Jiang, MD, MMed0Monica Comsa, MD, FRACP1Veronica Chi Ken Wong, MBBS, FRACP, FAANMS2Robert Mansberg, MBBS, FRACP, FAANMS3Departments of Nuclear Medicine and PET, Nepean Hospital, Kingswood, Derby St, NSW 2747, Australia; Corresponding author.Department of Respiratory Medicine, Nepean Hospital, Kingswood, NSW, Australia; Faculty of Medicine and Health, University of Sydney, NSW, AustraliaDepartments of Nuclear Medicine and PET, Nepean Hospital, Kingswood, Derby St, NSW 2747, Australia; Faculty of Medicine and Health, University of Sydney, NSW, AustraliaDepartments of Nuclear Medicine and PET, Nepean Hospital, Kingswood, Derby St, NSW 2747, Australia; Faculty of Medicine and Health, University of Sydney, NSW, AustraliaA 68-year-old gentleman was referred for 18F-FDG PET/CT for a pulmonary mass in the left upper lobe which demonstrated intensely FDG-avid confluent pulmonary consolidation in the left upper lobe (SUVmax 15.1). Histopathologic biopsy of the left upper lobe lung mass was consistent with inflammatory myofibroblastic tumor (IMT). The patient was started on steroid treatment in conjunction with antibiotics. Follow-up FDG PET/CT 3 weeks after commence of treatment showed remarkable response of the IMTs to therapy with much less avid FDG uptake (SUVmax 5.4) and marked improvement in the pulmonary consolidation. Nevertheless, the patient underwent left upper lobe lobectomy due to evidence of persistent cystic disease and malignant potential associated with IMTs. Final histopathology was consistent with IMT with no evidence of malignancy.http://www.sciencedirect.com/science/article/pii/S1930043321008335PETFDGinflammatory myofibroblastic tumorinflammatory pseudotumor
spellingShingle James Yuheng Jiang, MD, MMed
Monica Comsa, MD, FRACP
Veronica Chi Ken Wong, MBBS, FRACP, FAANMS
Robert Mansberg, MBBS, FRACP, FAANMS
Steroid responsive inflammatory myofibroblastic tumor of the lung evaluated by FDG PET/CT imaging
Radiology Case Reports
PET
FDG
inflammatory myofibroblastic tumor
inflammatory pseudotumor
title Steroid responsive inflammatory myofibroblastic tumor of the lung evaluated by FDG PET/CT imaging
title_full Steroid responsive inflammatory myofibroblastic tumor of the lung evaluated by FDG PET/CT imaging
title_fullStr Steroid responsive inflammatory myofibroblastic tumor of the lung evaluated by FDG PET/CT imaging
title_full_unstemmed Steroid responsive inflammatory myofibroblastic tumor of the lung evaluated by FDG PET/CT imaging
title_short Steroid responsive inflammatory myofibroblastic tumor of the lung evaluated by FDG PET/CT imaging
title_sort steroid responsive inflammatory myofibroblastic tumor of the lung evaluated by fdg pet ct imaging
topic PET
FDG
inflammatory myofibroblastic tumor
inflammatory pseudotumor
url http://www.sciencedirect.com/science/article/pii/S1930043321008335
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