IMAGING OF HEAD AND

NECK INFLAMMATORY
PSEUDOTUMOR

Oleh :
Kurnia Hernolingga
12-051

Preseptor :
dr. Dessy Wimelda, Sp. Rad
 DEFENISI

Inflammatory pseudotumor is a rare benign

condition of unknown cause.

Characterized :
The presence of a mass that may mimic
malignancy.
That is composed of spindle cells mixed with
variable amounts of extracellular collagen.
Lymphocytes
Plasma cells
 LOCATION
Inflammatory Pseudotumor of the Brain

Inflammatory Pseudotumor of the Orbit

Inflammatory Pseudotumor of the

Sinonasal Cavity
Inflammatory Pseudotumor of the
Temporal Bone or Skull Base

Other Rare Locations of Head and Neck

Inflammatory Pseudotumor
the soft tissue of the neck
the nasopharynx
the larynx
the major salivary gland
Sample
Case
 63 year old man with inflammatory pseudotumor of brain.
Inflammatory pseudotumor manifests parenchymal
involvement and mimics abscess.
 67 year old man with inflammatory pseudotumor of brain.
Inflammatory pseudotumor is attached to dura and
manifests as meningioma.
 53 year old woman with inflammatory pseudotumor of
orbit who presented with left-sided diplopia and
proptosis
 38 year old woman with orbital inflammatory
pseudotumor and extraorbital extension.
 47 year old woman with inflammatory pseudotumor of
nasal cavity.
 71 year old man with inflammatory pseudotumor and
malignant transformation of left maxillary sinus.
Patient had left gingival pain for 6 months.
 45 year old woman with inflammatory
pseudotumor of temporal bone.
 69 year old woman with inflammatory
pseudotumor of skull base.
 17 year old girl with inflammatory
pseudotumor of soft tissue of neck.
 Conclusion
The imaging characteristics and locations of head and neck
inflammatory pseudotumor vary widely, from the more frequent
benign lesions such as large masses mimicking malignant lesions to
the rare tumors that are multifocal and prone to recurrence and
malignant transformation. Inflammatory pseudotumor can also
manifest as brain abscess and meningioma. The role of the radiologist
is to ensure that inflammatory pseudotumors are preoperatively
suggested diagnoses and differentiated from malignant lesions either
by particular imaging findings or by imaging-guided biopsy. Thus,
although the radiologic differentiation from malignancy is not clearly
possible, we suggest that familiarity with the manifestations of
inflammatory pseudotumor can help avoid unnecessary radical surgery
before histopathologic proof of malignancy.