Corticodependent and recurrent inflammatory pseudo tumor. Analysis of cases and review

• Published in: The American journal of the medical sciences Vol. 367; no. 2; p. 135
• Main Authors: Sanz-Cánovas, Jaime, Lendínez-Sánchez, Gonzalo, Prieto-Sánchez, Elisa, Vicioso-Recio, Luis, Gutiérrez-Cardo, Antonio, Izurrategui-Hidalgo, Esther, Palacios-Rodríguez, Sebastián, Peláez-Angulo, José Miguel, Ropero-Luis, Guillermo, Pérez-de-Pedro, Iván, Gómez-Huelgas, Ricardo, Salgado-Ordóñez, Fernando
• Format: Journal Article
• Language: English
• Published: United States 01.02.2024
• Subjects: Adrenal Cortex Hormones; Adult; Child; Humans; Immunosuppressive Agents; Male; Neoplasms; Rituximab; Splenectomy; Splenomegaly; Inflammatory pseudo tumor; Rituxima; Cerebellar lesion
• ISSN: 1538-2990
• DOI: 10.1016/j.amjms.2023.11.010

Inflammatory pseudo tumor (IP) is an infrequent process with benign evolution in most cases whose etiology and pathogenesis are unknown. It usually affects young men and children, in whom the macroscopic lesion can mimic a malignant process, which is ruled out after biopsy. Therefore, the diagnosis of certainty is histological and treatment consists of corticosteroids, leaving resection for cases in which biopsy is not possible or in which it produces local complications. We present a case of an inflammatory pseudo tumor with special corticodependence that began as a long-term periodic fever and splenic focal lesion that required splenectomy for its diagnosis and that, after decreasing the corticosteroid regimen, presented recurrences at the cerebellar and systemic level requiring the association of various immunosuppressants and rituximab to achieve remission. As a result of this case, we have performed an analysis of all the pseudo tumors diagnosed in adults in the hospitals of the province of Malaga, and it has been compared with that described in the bibliography.