Pancreas
Other tumors
Inflammatory myofibroblastic tumor


Topic Completed: 1 August 2012

Revised: 31 January 2019

Copyright: (c) 2002-2019, PathologyOutlines.com, Inc.

PubMed Search: Inflammatory myofibroblastic tumor pancreas

Deepali Jain, M.D.
Page views in 2018: 645
Page views in 2019 to date: 396
Cite this page: Jain D. Inflammatory myofibroblastic tumor. PathologyOutlines.com website. http://www.pathologyoutlines.com/topic/pancreasIMT.html. Accessed October 19th, 2019.
Definition / general
  • Rare tumor (more common in lung) that may constrict bile duct
  • Cases with IgG4+ plasma cells perhaps should be classified separately as IgG4 related disorder, since they are distinct entities (Mod Pathol 2011;24:606)
Gross images

Images hosted on other servers:

19 year old man with cystic mass and splenic rupture

Microscopic (histologic) description
  • Spindled cells, collagen and variable lymphocytes and plasma cells
  • Rarely has prominent eosinophils
Microscopic (histologic) images

Images hosted on other servers:

Various images

19 year old man with cystic mass and splenic rupture

Left: bland spindle cells with lymphocytes and plasma cells (arrows) but no mitotic activity; right: smooth muscle actin


Loosely arranged spindle cells with admixed collagen bundles and scattered inflammatory infiltrate; proliferation extends into the adjacent fat and focal small lymphoid aggregates are present

Negative stains
Differential diagnosis
  • Follicular dendritic cell tumor
  • Inflammatory fibrosarcoma
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