Anaplastic lymphoma kinase-positive pulmonary inflammatory myofibroblastic tumor with sarcomatous morphology and distant metastases: An unusual histomorphology and behavior.

dc.contributor.authorSethi, Bhawna
dc.contributor.authorPai, Trupti
dc.contributor.authorAllam, Abhishek
dc.contributor.authorEpari, Sridhar
dc.date.accessioned2016-01-18T04:48:11Z
dc.date.available2016-01-18T04:48:11Z
dc.date.issued2015-10
dc.description.abstractInflammatory myofibroblastic tumor (IMT), an intermediate-grade neoplasm of myofibroblastic/fibroblastic differentiation, occurs commonly in children and young adults. It is characterized by anaplastic lymphoma kinase (ALK) gene rearrangement and overexpression of ALK-protein. However, aggressive behavior is more commonly associated with ALK-negativity rather than ALKpositivity. Pulmonary involvement is most common visceral location and carries minimal potential for distant metastasis. We present a case of 49-year-old female with pulmonary IMT of spindle cell sarcomatous histomorphology. Frequent mitoses and necrosis with characteristic cytoplasmic immunoreactivity for ALK-1 protein and ALK-gene rearrangement on fluorescence in-situ hybridization were noted. This case is unusual for occurrence in higher age-group of fifth decade, sarcomatous histomorphology at presentation (rather than transformation) and metastases to distant sites despite ALK-protein overexpression and gene rearrangement.en_US
dc.identifier.citationSethi Bhawna, Pai Trupti, Allam Abhishek, Epari Sridhar. Anaplastic lymphoma kinase-positive pulmonary inflammatory myofibroblastic tumor with sarcomatous morphology and distant metastases: An unusual histomorphology and behavior. Indian Journal of Pathology & Microbiology. 2015 Oct-Dec 58(4): 509-512.en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/170510
dc.language.isoenen_US
dc.source.urihttps://www.ijpmonline.org/article.asp?issn=0377-4929;year=2015;volume=58;issue=4;spage=509;epage=512;aulast=Sethien_US
dc.subjectAnaplastic lymphoma kinase geneen_US
dc.subjectanaplastic lymphoma kinase-proteinen_US
dc.subjectcrizotiniben_US
dc.subjectfluorescence in-situ hybridizationen_US
dc.subjectinflammatory myofibroblastic sarcomaen_US
dc.titleAnaplastic lymphoma kinase-positive pulmonary inflammatory myofibroblastic tumor with sarcomatous morphology and distant metastases: An unusual histomorphology and behavior.en_US
dc.typeArticleen_US
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