PMID- 26276782 OWN - NLM STAT- MEDLINE DCOM- 20151113 LR - 20181202 IS - 1943-7722 (Electronic) IS - 0002-9173 (Linking) VI - 144 IP - 3 DP - 2015 Sep TI - Polypoid laryngeal inflammatory myofibroblastic tumors: misleading lesions: description of six cases showing ALK overexpression. PG - 511-6 LID - 10.1309/AJCPCG8D6JAQBVLG [doi] AB - OBJECTIVES: Laryngeal inflammatory myofibroblastic tumors (IMTs) are rarely reported in the literature but may be underrecognized. To better characterize their features, we report a series of six cases. METHODS: The clinicopathologic findings, including immunohistochemistry, fluorescence in situ hybridization (FISH) analysis, and follow-up, were evaluated and a review of the literature was performed. RESULTS: These cases presented as small polypoid vocal cord or ventricular band lesions, with a more advanced mean age at diagnosis (49 years) than typically reported in other localizations. Apart from one secondary revision surgery, no complementary treatment and no recurrences were observed. Histologically, various morphologic features were seen. All tumors were spindle cell proliferations on a myxoid background with more or less atypia and significant inflammatory infiltrate. All six cases showed anaplastic lymphoma kinase (ALK) immunohistochemical expression. FISH rearrangement was present in four of six cases. Only two cases were initially diagnosed as IMT. CONCLUSIONS: According to our series, laryngeal IMTs are easily misdiagnosed. They have a good prognosis, and ALK immunohistochemistry should be carried out to assess this diagnosis when spindle cell proliferations are observed in this localization. CI - Copyright(c) by the American Society for Clinical Pathology. FAU - Pierry, Clemence AU - Pierry C AD - From the Department of Biopathology, Institut Bergonie, Bordeaux, France; FAU - Perot, Gaelle AU - Perot G AD - From the Department of Biopathology, Institut Bergonie, Bordeaux, France; FAU - Karanian-Philippe, Marie AU - Karanian-Philippe M AD - From the Department of Biopathology, Institut Bergonie, Bordeaux, France; Universite Bordeaux, Bordeaux, France; FAU - Neuville, Agnes AU - Neuville A AD - From the Department of Biopathology, Institut Bergonie, Bordeaux, France; Universite Bordeaux, Bordeaux, France; FAU - Gomez-Brouchet, Anne AU - Gomez-Brouchet A AD - Department of Pathology, Rangueil University Hospital, Toulouse, France; and. FAU - Crestani, Sabine AU - Crestani S AD - ENT and Maxillofacial Surgery Department, Larrey University Hospital, Toulouse, France. FAU - Coindre, Jean-Michel AU - Coindre JM AD - From the Department of Biopathology, Institut Bergonie, Bordeaux, France; Universite Bordeaux, Bordeaux, France; j.coindre@bordeaux.unicancer.fr. LA - eng PT - Journal Article PL - England TA - Am J Clin Pathol JT - American journal of clinical pathology JID - 0370470 RN - 0 (Biomarkers, Tumor) RN - EC 2.7.10.1 (ALK protein, human) RN - EC 2.7.10.1 (Anaplastic Lymphoma Kinase) RN - EC 2.7.10.1 (Receptor Protein-Tyrosine Kinases) SB - IM MH - Adult MH - Aged, 80 and over MH - Anaplastic Lymphoma Kinase MH - Biomarkers, Tumor/*metabolism MH - Diagnostic Errors/prevention & control MH - Female MH - Humans MH - Immunohistochemistry/methods MH - In Situ Hybridization, Fluorescence/methods MH - Laryngeal Neoplasms/*diagnosis/*metabolism MH - Male MH - Middle Aged MH - Neoplasms, Muscle Tissue/*diagnosis/*metabolism MH - Receptor Protein-Tyrosine Kinases/*metabolism OTO - NOTNLM OT - ALK OT - Anaplastic lymphoma kinase OT - Inflammatory myofibroblastic tumor OT - Laryngeal tumor OT - Vocal cord polyp EDAT- 2015/08/16 06:00 MHDA- 2015/11/14 06:00 CRDT- 2015/08/16 06:00 PHST- 2015/08/16 06:00 [entrez] PHST- 2015/08/16 06:00 [pubmed] PHST- 2015/11/14 06:00 [medline] AID - 144/3/511 [pii] AID - 10.1309/AJCPCG8D6JAQBVLG [doi] PST - ppublish SO - Am J Clin Pathol. 2015 Sep;144(3):511-6. doi: 10.1309/AJCPCG8D6JAQBVLG.