Diagnostic Approach in a Rare Lung Tumor: Inflammatory Myofibroblastic Tumor

罕见肺部肿瘤——炎性肌纤维母细胞瘤的诊断方法

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Abstract

Diagnosis and management of inflammatory myofibroblastic tumors (IMTs) are challenging due to limited data and complications with existing techniques. We report a case of IMT in which a patient was found to have a rare near-total obstructive endobronchial tumor in the left mainstem bronchus after two unsuccessful bronchoscopy attempts-the second attempt requiring intubation due to significant bleeding, which is a common finding in IMTs. We suggest using cryorecanalization for tumor debulking to minimize the risk of bleeding during bronchoscopies and to follow up with argon plasma coagulation (APC) for safe management. The patient tolerated this procedure well with no complications and had improved symptoms, emphasizing the importance of innovative patient-tailored care to treat rare and complex lung tumors such as IMTs.

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