Localized Inflammatory Myofibroblastic Tumor Involving the Genitourinary System: Adolescent Case Series and Review

Urology. 2018 Dec:122:162-164. doi: 10.1016/j.urology.2018.07.002. Epub 2018 Jul 17.

Abstract

We describe four adolescent cases of inflammatory myofibroblastic tumor involving the genitourinary system. Two patients with masses of the urinary bladder presented with gross hematuria. The third patient presented with left flank pain and a mass encasing the left ureter causing hydronephrosis. The fourth patient presented with a painless, growing palpable mass of the left hemiscrotum. Currently, no standards exist for the management of inflammatory myofibroblastic tumors. Herein, we discuss the work-up and treatment approaches taken in each case.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adolescent
  • Adult
  • Age Factors
  • Cyclooxygenase 2 Inhibitors / therapeutic use
  • Epididymis / diagnostic imaging
  • Epididymis / pathology
  • Epididymis / surgery
  • Female
  • Genital Neoplasms, Male / diagnosis*
  • Genital Neoplasms, Male / pathology
  • Genital Neoplasms, Male / therapy
  • Glucocorticoids / therapeutic use
  • Humans
  • Inflammation / complications
  • Inflammation / diagnosis*
  • Inflammation / pathology
  • Inflammation / therapy
  • Magnetic Resonance Imaging
  • Male
  • Stents
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Ultrasonography
  • Ureter / diagnostic imaging
  • Ureter / pathology
  • Ureter / surgery
  • Ureteral Neoplasms / complications
  • Ureteral Neoplasms / diagnosis*
  • Ureteral Neoplasms / pathology
  • Ureteral Neoplasms / therapy
  • Urinary Bladder / diagnostic imaging
  • Urinary Bladder / pathology
  • Urinary Bladder / surgery
  • Urinary Bladder Neoplasms / complications
  • Urinary Bladder Neoplasms / diagnosis*
  • Urinary Bladder Neoplasms / pathology
  • Urinary Bladder Neoplasms / therapy
  • Young Adult

Substances

  • Cyclooxygenase 2 Inhibitors
  • Glucocorticoids