Figure 3. Histologic and Immunohistochemical Analyses of IMT Samples from Patient 2.
A sample of the inflammatory myofibroblastic tumor (IMT) obtained on biopsy shows ganglion-like, plump epithelioid cells with abundant eosinophilic cytoplasm and nuclei with open chromatic and prominent nucleoli; scattered small lymphocytes are in the background (Panel A, hematoxylin and eosin). A different area of the tumor shows a prominent inflammatory component that is composed primarily of plasma cells, dense fibrous stroma, and scattered plump spindle and ganglion-like cells (Panel B, arrows; hematoxylin and eosin). Results of immunostaining for ALK are negative (Panel C), and FISH analysis shows no ALK rearrangement (Panel D).
