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Updated: Jan 21, 2026

Isolation of CD 90+ Fibroblast/Myofibroblasts from Human Frozen Gastrointestinal Specimens
Published on: January 31, 2016
[Inflammatory myofibroblastic tumor: Variable presentation of the same pathology]
Jorge E Muñoz Moya1, María Olga Alfaro Aguirre1, Mauricio Leiva Silva1
1Servicio de Cirugía infantil, Hospital Clínico San Borja Arriarán, Chile.
Introduction:
The inflammatory myofibroblastic tumor is an infrequent benign neoplasm with unpredictable cli nical behavior.
Objectives:
to describe three clinical cases at the San Borja Arriarán Clinical Hospital between March 2014 and January 2018 and to carry out an updated review of the literature. Case 1: 14-year-old male adolescent, hospitalized due to abdominal pain, diagnosed with jejunojejunal intus susception secondary to an intestinal wall tumor. The histology was compatible with an inflamma tory myofibroblastic tumor. Case 2: 12-year-old female adolescent, hospitalized due to pneumonia and low-back pain under study associated with weight loss. A retroperitoneal mass was diagnosed involving the right psoas muscle, paravertebral muscles, vertebrae, right kidney, and ipsilateral dia phragm. A puncture biopsy was performed and the result was compatible with an inflammatory myofibroblastic tumor. Case 3: 11-year-old female pre-adolescent, hospitalized to study recurrent urinary tract infection. A bladder tumor was identified, and the biopsy showed compatibility with inflammatory myofibroblastic tumor.
Conclusion:
Due to the variable behavior of the inflammatory myofibroblastic tumor, its management will depend on the location, expression of the anaplastic lymphoma kinase (ALK), tumor behavior, and the resection possibility.
Insights
Inflammatory myofibroblastic tumors are rare benign neoplasms with unpredictable behavior. Management of these tumors depends on location, ALK expression, and resectability.
Area of Science:
- Pediatric Oncology
- Surgical Pathology
- Oncology
Background:
- Inflammatory myofibroblastic tumor (IMT) is an infrequent benign neoplasm.
- IMT exhibits unpredictable clinical behavior.
- This study reviews three pediatric cases and relevant literature.
Observation:
- Case 1: A 14-year-old male with jejunojejunal intussusception due to an intestinal IMT.
- Case 2: A 12-year-old female with a retroperitoneal IMT involving multiple structures.
- Case 3: An 11-year-old female with a bladder IMT.
Findings:
- Histological analysis confirmed IMT in all three cases.
- The cases highlight the diverse presentations of IMT in pediatric patients.
- IMTs can occur in various locations, including the intestine, retroperitoneum, and bladder.
Implications:
- Management strategies for IMT must be individualized.
- Factors influencing treatment include tumor location, ALK expression, and resectability.
- Further research is needed to understand and predict IMT behavior.
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