Turkish Journal of Oncology Turkish Society for Radiation Oncology
Article Open Access Volume 29 · Issue 4 · 2014 pp. 162–165

A rare case presented with anemia, hyperferritinemia and coagulopathy: inflammatory myofibroblastic tumor

Barış MALBORA1
1 Dr. Sami Ulus Kadın Doğum, Çocuk Sağlığı ve Hastalıkları Eğitim ve Araştırma Hastanesi, Çocuk Hematoloji ve Onkoloji Kliniği, Ankara
2 Dr. Sami Ulus Kadın Doğum, Çocuk Sağlığı ve Hastalıkları Eğitim ve Araştırma Hastanesi, Pediatri Kliniği, Ankara
3 Dr. Sami Ulus Kadın Doğum, Çocuk Sağlığı ve Hastalıkları Eğitim ve Araştırma Hastanesi, Patoloji Bölümü, Ankara
4 Dr. Sami Ulus Kadın Doğum, Çocuk Sağlığı ve Hastalıkları Eğitim ve Araştırma Hastanesi, Çocuk Cerrahisi Kliniği, Ankara
Published: 2014 Article ID: 899
Abstract
Inflammatory myofibroblastic tumor is a childhood tumor and
can be seen in everywhere especially emerged from lungs,
mediastinum and orbit. Its etiology is not known clearly but
infectious and immunological factors are suspected. According
to the database its incidence differs between 0.04%
to 0.7%. In this case report we aimed to call attention about
diagnosis of inflammatory myofibroblastic tumor presenting
with unexplained anemia, hyperferritinemia and persistent
coagulopathy. Patient presented with fatigue, anemia and
hyperferritinemia, increased levels of acute phase reactants
were detected. Intermittent fever episodes and prolonged active
partial thromboplastin time were also revealed during the
follow up period. Abdominal ultrasonography was performed
to identify the origin of fever and abdominal mass was diagnosed
incidentally. After total resection of abdominal mass
by surgery, high levels of acute phase reactants and active
partial thromboplastin time were normalized. Inflammatory
myofibroblastic tumor was diagnosed by biopsy and patient
was enrolled to follow up programme.

Keywords: Anemia; hyperferritinemia; inflammatory myofibroblastic tumor; coagulopathy

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