Inflammatory pseudotumor is a quasineoplastic lesion that most commonly involves the lung and the orbit, but it has been reported to occur in nearly every site in the body. The pathogenesis, natural history, clinical presentation, imaging findings, and treatment options for inflammatory pseudotumor in the lung, heart, gastrointestinal tract, adrenal gland, iliopsoas muscle, orbit, and central nervous system are discussed. Because inflammatory pseudotumors mimic malignant tumors both clinically and radiologically, the radiologist should be familiar with this entity and help avoid unnecessary radical surgery when possible.
Inflammatory pseudotumor of the lung was first described by Brunn in 1939. Since that description, various extrapulmonary sites of inflammatory pseudotumor have been described. Review of the literature reveals five cases of inflammatory pseudotumor involving the heart, but no cases have been reported in the radiology literature. The present case involves a 7-month-old girl with inflammatory pseudotumor involving the right atrium, which was completely excised at surgery. Though rare, inflammatory pseudotumor should be considered in the differential diagnosis of cardiac tumors in children.
Myositis ossificans (MO) refers to non-neoplastic heterotopic soft tissue ossification that can have several aetiologies. Broadly it can be classified into three categories based on aetiology [1]. MO traumatica, the most common form occurs secondary to acute or chronic trauma. MO can also be associated with neurological disorders and in rare cases is congenital. The latter (progressive MO) is a genetic disorder in which congenital osseous abnormalities are associated with progressive soft tissue calcification. Despite an increased tendency to soft tissue bleeds, MO has been rarely reported in haemophilia. We treated three adolescents with haemophilia and MO of varying degrees of severity and outcome.
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