Evidence map›Paper›PMID 42067665›Full record

ArticleVirchows Archiv : an international journal of pathology2026

Thoracic inflammatory myofibroblastic tumors: A decade-long retrospective study integrating clinicopathological and molecular features from a tertiary care centre.

Sherrin Jacob, Aruna Nambirajan, Hrishikesh Nagbhushan Gangule, Sunil Kumar, S H Chandrashekhara, Sameer Rastogi, Adarsh Barwad, Asit Ranjan Mridha, Karan Madan, Prabhat Singh Malik and 1 more

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Article in Virchows Archiv : an international journal of pathology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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11 authors.

Sherrin JacobDepartment of Pathology, All India Institute of Medical Sciences, New Delhi, India.
Aruna NambirajanDepartment of Pathology, All India Institute of Medical Sciences, New Delhi, India.
Hrishikesh Nagbhushan GanguleDepartment of Pathology, All India Institute of Medical Sciences, New Delhi, India.
Sunil KumarDepartment of Surgical Oncology, Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi, India.
S H ChandrashekharaDepartment of Radiodiagnosis, All India Institute of Medical Sciences, Institute Rotary Cancer Hospital, New Delhi, India.
Sameer RastogiDepartment of Medical Oncology, All India Institute of Medical Sciences, Institute Rotary Cancer Hospital, New Delhi, India.
Adarsh BarwadDepartment of Pathology, All India Institute of Medical Sciences, New Delhi, India.
Asit Ranjan MridhaDepartment of Pathology, All India Institute of Medical Sciences, New Delhi, India.
Karan MadanDepartment of Pulmonary Medicine, All India Institute of Medical Sciences, New Delhi, India.
Prabhat Singh MalikDepartment of Medical Oncology, All India Institute of Medical Sciences, Institute Rotary Cancer Hospital, New Delhi, India.
Deepali JainDepartment of Pathology, All India Institute of Medical Sciences, New Delhi, India. deepalijain76@aiims.edu.ORCID http://orcid.org/0000-0001-7589-537X

Funding

Indian Council of Medical Research Indian Council of Medical Research
6 · The paper itself

Abstract

Inflammatory myofibroblastic tumors (IMT) are mesenchymal neoplasms of intermediate malignant potential, characterized by recurrent gene fusions in potentially targetable receptor tyrosine kinases. Primary thoracic IMTs are rare, and their molecular landscape remains incompletely characterized. A ten-year retrospective (2014-2024) clinicopathological analysis of primary thoracic IMTs was done. Histomorphological evaluation and molecular characterization by a graded approach incorporating immunohistochemistry, fluorescence-in-situ hybridization, multiplex reverse-transcription polymerase chain reaction, and next-generation targeted panel sequencing were performed for the common implicated driver fusions. Thirty IMTs involving the lung (n=17), tracheobronchial tree (n=12), and pleura (n=1) were identified. Median age at diagnosis was 18 years (range: 2 to 51 years), including 14 paediatric and 16 adult patients. Male: female ratio was 2.2:1 and 1.3:1, in adults and children, respectively. Majority (22/30, 73.3%) showed cellular spindle-cell pattern with lymphoplasmacytic inflammation. None showed significant atypia, necrosis, or mitotic activity. Molecular characterisation achieved in 22/30 cases revealed 73.3% (16/22) ALK-IMTs, 23% (5/22) ROS1-IMTs, and a single NTRK3-IMT. No statistically significant differences were seen among molecular subgroups, although ALK-IMTs were diagnosed at a higher median age (24.5 years) as compared to ROS1-IMTs (15 years). On follow-up (median follow up period: 24 months), local recurrence was observed in 23% (3/13) patients, all harbouring ALK-IMTs, one of whom was successfully treated with ALK inhibitor therapy; no disease-related deaths were recorded. Primary thoracic IMT affects children and young adults. Majority are driven by ALK gene rearrangements, followed by ROS1 alterations, underscoring role of molecular profiling in potential therapeutic stratification.

Indexed as

Biomarkers, TumorNeoplasms, Muscle TissueThoracic NeoplasmsAdolescentAdultAnaplastic Lymphoma KinaseChildChild, PreschoolFemaleHumansImmunohistochemistryIn Situ Hybridization, FluorescenceMaleMiddle AgedProtein-Tyrosine KinasesProto-Oncogene ProteinsALK protein, humanAnaplastic Lymphoma KinaseBiomarkers, TumorProtein-Tyrosine KinasesProto-Oncogene ProteinsROS1 protein, humanALKMultiplex PCRNGSNTRKOutcomeROS1

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.