Inflammatory Myofibroblastic tumor in 9 year old

Portal Forums Lung/Thoracic Cancer ALK Inhibitors Inflammatory Myofibroblastic tumor in 9 year old

This topic contains 5 replies, has 3 voices, and was last updated by JimC Forum Moderator JimC Forum Moderator 3 months, 3 weeks ago.

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June 29, 2017 at 4:44 am  #1290937    


Our 9 year old grandson just had an abdominal IMT removed that is ALK-positive. The oncologist has started him on crizitonib, as he said the tumor was cancerous. Any information about the disease and treatment with crizitonib would be so helpful-we are devastated.

June 29, 2017 at 1:18 pm  #1290938    
catdander forum moderator
catdander forum moderator

Hi Joann and welcome to Grace. I can’t say how sorry I am to know about your grandson. We don’t have much information on the disease past the mention of ALK treatments such as crizotinib though I’ve found some hopeful information on IMT on the National Health Institutes website including the following, “In general, inflammatory myofibroblastic tumors (IMTs) follow a benign course with a favorable outcome after they are surgically removed. In some cases, they can be invasive, recur locally, or spread (metastasize).[7] A metastatic IMT has a poorer prognosis and can cause death.[3] An IMT can also be indolent, with prolonged survival despite multiple recurrences. Local recurrence rates of 15% to 37%, and distant metastasis rates of up to 11%, have been reported.[3]

“Rearrangements of genetic material involving the ALK gene are present in the tumor in some affected people (known as being ALK-positive). Being ALK-positive may be associated with a more favorable prognosis. One study found that a higher percentage of patients with localized disease were ALK-positive (about 60%) compared to those with multicentric (having 2 or more separate growths) IMTs (about 33%). However, the associations between prognosis and ALK status need to be validated with additional, larger studies.[3]”

As a moderator on Grace and the wife of a lung cancer survivor the content in the above quote sound very promising for a full recovery. As the grandparent of a young child with IMT I can only imagine the worry and devastation. No doubt there are hard times ahead but there’s lots of real hope for a long healthy life without IMT or managed IMT.

I will continue in another post.


June 29, 2017 at 1:48 pm  #1290940    
catdander forum moderator
catdander forum moderator

Mayo Clinic has done recent research using ALK inhibitors in IMT, “Inflammatory myofibroblastic tumors often strike in children and young adults. The main form of treatment for patients with an inflammatory myofibroblastic tumor is surgery, but the tumors often reappear in different parts of the body. There is no standard of care for patients with inflammatory myofibroblastic tumors, thus making the discovery of tumor response to ceritinib all the more important. Mayo Clinic investigators are recommending further study of this drug to determine whether it should be approved for individualized treatments.”

You may want to search the clinical trials database to find what types of clinical research are active for IMT at

We don’t have information specific to children though we do have quite a bit of information (most posted by our members in the forums) about managing side effects from ALK inhibitors. The following thread is dedicated to people taking ALK inhibitors and moderated by a Craig, who takes these drugs and who likely knows as much about these drugs as anyone. I will loop him into your thread.

I hope your little one moves through this as a bump in the road of an otherwise happy life.

All best,

June 29, 2017 at 2:56 pm  #1290941    


Thanks for the welcome and information. I have read just about everything I can find online, and it isn’t much….even the oncologist at Children’s has said this type of tumor is very rare. Brady is just the third child he has seen with one since 2003. I will check out the Mayo Clinic site and also the forum on ALK inhibitors.
Thanks for managing this site!

February 27, 2018 at 6:09 am  #1294019    


Update on our grandson

He had to stop the ALK inhibitor in November, as it cause severe diarrhea, which caused bleeding at the anastomosis sites in his colon. The surgeon is confident that she removed all traces of the tumor, so the decision was made to stop the crizotinib, and continue to do MRI’s every 2-3 months. He had one yesterday, and it was clear. The oncologist was pleased with Brady’s condition overall, and the decision was to not restart the crizotinib at this time. We are hopeful for a positive outcome.

February 27, 2018 at 6:23 am  #1294020    
JimC Forum Moderator
JimC Forum Moderator

Hi Joann,

I’m sorry to hear that crizotinib caused such problems, but it’s wonderful news that the scan was clear! We hope that the surgeon is correct and that all future scans are clear as well. Thanks for the update!

Forum moderator

Jul 2008 Wife Liz (51/never smoker) Dx Stage IV NSCLC EGFR exon 19
4 cycles Carbo/alimta, 65% shrinkage
Tarceva maintenance
Mar 2010 progression, added Alimta, stable
Sep 2010 multiple brain mets, WBR
Oct 2010 large pericardial effusion, tamponade
Jan 2011 progression, start abraxane
Jun 2011-New liver, brain mets, add Tarceva
Oct 2011-Dx Leptomeningeal carcinomatosis; pulsed Tarceva
At rest Nov 4 2011
Since then:

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