CT Manifestations of Inflammatory

Myofibroblastic Tumors
(Inflammatory Pseudotumors) of
the Urinary System

Oleh:
Atika Rozalia 1210070100084

Pembimbing
dr. Dessy Wimelda Sp.Rad

FAKULTAS KEDOKTERAN UNIVERSITAS BAITURRAHMAH

RSUD SOLOK
2017
 DEFINITION

Inflammatory myofibroblastic tumors (IMTs) are a rare type of benign

spindle cell tumor. Pulmonary IMTs are the most wellknown and
common type of IMT.

Other potential sites where IMTs may occur include the abdomen,
retroperitoneum, pelvic cavity, head and neck, trunk, and limbs.
 ETIOLOGI

• Ultrasound images, such masses can be characterized by

low or high echogenicity with clear or obscure boundaries.
A

• CT scans, IMTs can be characterized by low density,

isodensity, or high density.
B

• MRI, masses usually show low signal intensity, with

masses showing homogeneous or heterogeneous
enhancement on T1- and T2-weighted contrastenhanced
C MR images.
 RESULTS

 All tumors were found to be primary urinary

system IMTs.

 Bladder IMTs typically occur in younger

individuals, particularly female patients, but
they rarely occur in children.
CLINICAL MANIFESTATIONS

a. Gross Hematuria
b. Pain During Urination
c. Increased Urge to Urinate
d. Dysuria
e. Urinary Incontinence
f. Abdominal Pain
CLINICAL MANIFESTATIONS

Bladder IMTs manifest morphologically as

polypoid or cauliflower-like soft-tissue
masses, which generally are similar to
those associated with bladder Cancer The
present.
TABLE 1
The CT images of 77year men
The CT images of 50 year women
The CT images of 70 year men
The CT images of 35 year men
DIFFERENTIAL DIAGNOSIS

The differential diagnosis of renal

inflammatory pseudotumors included renal cell
carcinoma, renal lymphoma, and renal pelvic
carcinoma. Kidney IMTs were characterized by
obscure edges, whereas the margins of renal
cell carcinoma were clear
 DIFFERENCE

Differentiation between renal pelvic IMT and renal

pelvis carcinoma was difficult to achieve before surgery
because the appearance of the two entities was similar
on CT. Although establishing a diagnosis preoperatively
was difficult, a diagnosis may be made on the basis of
pathologic findings from puncture biopsy performed
under the guidance of kidney CT, which can help both to
establish proper surgical procedures and to avoid
nephrectomy.
 CONCLUSION

IMTs in the urinary system commonly occur in

the superior wall or the front wall of the bladder. The
observation that polypoid nodules on the bladder
walls show ring enhancement on contrast-enhanced
CT may be valuable in the diagnostic imaging of
IMTs of the urinary system.
THE END