A case of splenic inflammatory pseudotumor

  • METOKI Ryo
    Department of Gastroenterology and Hepatology, Tokyo Medical University
  • HORIBE Toshiya
    Department of Gastroenterology and Hepatology, Tokyo Medical University
  • ICHIMURA Shigeki
    Department of Gastroenterology and Hepatology, Tokyo Medical University
  • MIYATA Yuuki
    Department of Gastroenterology and Hepatology, Tokyo Medical University
  • MURASHIMA Eigaku
    Department of Gastroenterology and Hepatology, Tokyo Medical University
  • KUDOH Kousei
    Department of Gastroenterology and Hepatology, Tokyo Medical University
  • TAIRA Junichi
    Department of Gastroenterology and Hepatology, Tokyo Medical University
  • SUGIMOTO Katsutoshi
    Department of Gastroenterology and Hepatology, Tokyo Medical University
  • FURUICHI Yoshihiro
    Department of Gastroenterology and Hepatology, Tokyo Medical University
  • KAMAMOTO Hiroyuki
    Department of Gastroenterology and Hepatology, Tokyo Medical University
  • SHIMIZU Masafumi
    Department of Gastroenterology and Hepatology, Tokyo Medical University
  • YAMADA Masahiko
    Department of Gastroenterology and Hepatology, Tokyo Medical University
  • MIYAHARA Takeo
    Department of Gastroenterology and Hepatology, Tokyo Medical University
  • IMAI Yasuharu
    Department of Gastroenterology and Hepatology, Tokyo Medical University
  • NAKAMURA Ikuo
    Department of Gastroenterology and Hepatology, Tokyo Medical University
  • MORIYASU Fuminori
    Department of Gastroenterology and Hepatology, Tokyo Medical University
  • AOKI Tatsuya
    Department of Gastroenterologic Surgery, Tokyo Medical University
  • SERIZAWA Hiromi
    Department of Diagnostic Pathology, Tokyo Medical University

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Other Title
  • 脾炎症性偽腫瘍の1例

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Abstract

A 74-year-old woman underwent abdominal echography at a local clinic and a splenic mass was found. She was hospitalized for detailed examinations and treatment. Splenectomy was performed to make a definite diagnosis and for treatment because a definitive diagnosis could not be made, despite various examinations. Histopathological examination revealed that the lesion was infiltrated by polyclonal lymphoid cells and contained proliferating spindle-shaped fibroblasts without any atypical cells, so the splenic mass was diagnosed as an inflammatory pseudotumor. Because some cases of inflammatory pseudotumor can be diagnosed from the clinical course and imaging findings, this possibility should also be considered in the differential diagnosis of a splenic mass.<br>

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