Diagnosis, treatment, and rehabilitation of a patient with inflammatory pseudotumor

Abstract

Inflammatory pseudotumors are a group of lesions of unknown etiology that mimic clinically and radiographically neoplasms. In the maxilla, inflammatory pseudotumors are presented with bone alterations of erosion, remodeling, and sclerosis. The diagnosis is of exclusion, where multiple biopsies are required. The present study aims to report the case of a male patient who presented with increased volume in the left maxillary region, with diagnosis after total left maxillectomy being inflammatory pseudotumor. The patient did not present recurrences with 3 years of preservation and underwent by multidisciplinary treatment with esthetic and functional rehabilitation with the preparation of a bucomaxilo prosthesis. Despite presenting some suggestive clinical features, the inflammatory pseudotumor has a difficult and of exclusion diagnosis, where multiple biopsies are required. They are lesions that simulate clinically and radiographically neoplasms. If it is surgically accessible, the treatment of choice is complete surgical resection.

Intraosseous inflammatory pseudotumor of the maxilla: A case report

“…In a recent report by Neronov et al, 25 cases of intraosseous IPT of the jaw were reported, with the mandible being the most affected. After an extensive literature search, less than 10 cases of maxillary IPT were found, 3 , 11 , 12 all of which were osteolytic. Two cases were on the right side, and seven were on the left.…”

Rare histopathological finding of ovarian pseudotumor: A case report

“…The origin of IPT is not known, but various mechanisms have been suggested including immune-autoimmune, trauma and surgical inflammation ( 6 ), furthermore, it may resemble low-grade fibrosarcoma with inflammatory cells ( 6 ).…”