Inflammatory Myofibroblastic Tumour of Ovary Simulating Malignancy with Review of Literature

Authors

  • Ruchi Sinha ASSOCIATE PROFESSOR,DEPARTMENT OF PATHOLOGY ,ALL INDIA INSTITUTE OF MEDICAL SCIENCES-PATNA
  • Shuchi Smita SENIOR RESIDENT,DEPARTMENT OF PATHOLOGY,ALL INDIA INSTITUTE OF MEDICAL SCIENCES-PATNA
  • Iffat Jamal TUTOR,DEPARTMENT OF PATHOLOGY,ALL INDIA INSTITUTE OF MEDICAL SCIENCES-PATNA
  • Shashikant Kumar SENIOR RESIDENT,DEPARTMENT OF PATHOLOGY,ALL INDIA INSTITUTE OF MEDICAL SCIENCES-PATNA
  • Nishi Sharma TUTOR,DEPARTMENT OF PATHOLOGY,ALL INDIA INSTITUTE OF MEDICAL SCIENCES-PATNA
  • Mamta Kumari TUTOR,DEPARTMENT OF PATHOLOGY,ALL INDIA INSTITUTE OF MEDICAL SCIENCES-PATNA

Keywords:

Inflammatory, myofibroblastic, tumour, malignancy, salpingo-oopherecromy

Abstract

Inflammatory myofibroblastic tumour (IMT) of ovary is an uncommon benign neoplasm that can mimic malignancy. It often occurs in children and young adults. Lung is the most common site of IMT.  Precise etiology is not known but recent reports suggested the role of benign reactive process in its pathogenesis.

A 32 year old female patient presented to the gynaecology out patient department with complaints of lower abdominal pain and increased frequency of micturition with burning since 15 days. On per abdominal examination, an irregular lump of 18 weeks size with restricted mobility was palpable in suprapubic region. Laboratoratory investigations revealed normocytic normochromic anaemia with neutophilic leucocytosis and raised ESR. Her serum CA 125 levels were slightly raised (44.30 u/ml). Imaging studies showed an infiltrating mass in the pelvis. The patient underwent total abdominal hysterectomy with bilateral salpingo oopherectomy and omentectomy. Histopathological examination of which revealed IMT of right ovary with extension to right  parametrium and adjacent bladder.

As IMT is a mimicker of malignancy due to its infiltrative growth. Histopathological examination is mandatory for its diagnosis and treatment. Misdiagnosis can lead to unnecessary extensive debulking surgeries and even chemotherapy. Rarity of this entity in the ovary has made this case worth reporting.

 

DOI: 10.21276/APALM.1285

 

References

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Published

25-08-2017

How to Cite

1.
Sinha R, Smita S, Jamal I, Kumar S, Sharma N, Kumari M. Inflammatory Myofibroblastic Tumour of Ovary Simulating Malignancy with Review of Literature. Ann of Pathol and Lab Med [Internet]. 2017 Aug. 25 [cited 2024 Dec. 30];4(4):C114-118. Available from: https://pacificejournals.com/journal/index.php/apalm/article/view/apalm1285

Issue

Vol. 4 No. 4 (2017)

Section

Case Report

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Copyright (c) 2017 Ruchi Sinha, Shuchi Smita, Iffat Jamal, Shashikant Kumar, Nishi Sharma, Mamta Kumari

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