Inflammatory pseudotumor of the spleen: review of clinical presentation and diagnostic methods. uri icon

Overview

abstract

  • We describe a 91-year-old woman with a clinical history of invasive ductal carcinoma of the breast diagnosed in 1991 who was admitted because of dizziness, poor appetite, and some swelling and tenderness over her cheeks. The patient's initial work up revealed a 5-cm well-demarcated hypodense solid lesion in her spleen with abnormally intense uptake on PET/CT scan raising suspicion for malignancy i.e. breast metastasis versus lymphoma. Further review demonstrated the presence of this splenic lesion, though slightly smaller, on a CT scan from ten years earlier (2000). An ultrasonographic guided core needle splenic biopsy was performed and the pathology result revealed histological findings compatible with inflammatory pseudotumor of the spleen. As a result, unnecessary splenectomy was avoided.

publication date

  • September 1, 2011

Research

keywords

  • Granuloma, Plasma Cell
  • Spleen
  • Splenic Diseases

Identity

PubMed Central ID

  • PMC3303459

Scopus Document Identifier

  • 80053018903

Digital Object Identifier (DOI)

  • 10.3941/jrcr.v5i9.758

PubMed ID

  • 22470813

Additional Document Info

volume

  • 5

issue

  • 9