World Journal of Oncology, ISSN 1920-4531 print, 1920-454X online, Open Access
Article copyright, the authors; Journal compilation copyright, World J Oncol and Elmer Press Inc
Journal website https://www.wjon.org

Case Report

Volume 15, Number 3, June 2024, pages 521-525


Inflammatory Myofibroblastic Tumor of the Sciatic Nerve Mimicking Lumbar Disc Herniation: A Diagnostic Challenge

Figures

Figure 1.
Figure 1. MR images of a 40-year-old male with IMT. Sagittal (a) and axial (b) MR images of the lumbar spine showing a mildly herniated disc at the L4-L5 level. The tumor (arrows) showed mild hyperintensity on T1-weighted imaging (c) and hyperintensity on fat-suppressed T2-weighted imaging (d). The tumor (arrows) showed enhancement after contrast agent injection (e). IMT: inflammatory myofibroblastic tumor; MR: magnetic resonance.
Figure 2.
Figure 2. Intraoperative and pathological images of a 40-year-old male with IMT derived from the sciatic nerve. (a) Intraoperative photograph, (b) macroscopic photograph, and (c) microscopic examination revealing IMTs. The tumor cells consisted of fusiform myofibroblasts, infiltrated plasma cells, lymphocytes, and eosinophils. The tumor cells did not express SMA (d), original magnification × 400; S100 (e), original magnification × 400, or CD34 (f), original magnification × 400, confirming the diagnosis of IMT. IMT: inflammatory myofibroblastic tumor.