Inflammatory pseudotumor of pelvic lymph nodes.

Abstract:

BACKGROUND:Inflammatory pseudotumor is a rare benign cause of lymphadenopathy previously reported in several anatomic locations that can simulate malignant neoplasm. CASE:A postmenopausal woman presented with abdominal pain, generalized malaise, leukocytosis, and intermittent fevers up to 102 degrees F. A 5-day course of antibiotics was given with persistence of symptoms. Computed tomography of the abdomen and pelvis demonstrated an ill-defined, retroperitoneal soft-tissue density, and lymphadenopathy. She underwent an exploratory laparotomy, total abdominal hysterectomy, bilateral salpingo-oophorectomy, and unilateral pelvic and paraaortic lymphadenotomy. Histologic examination revealed inflammatory pseudotumor of the lymph nodes, with immunohistochemical studies demonstrating actin-positive myofibroblastic cells. Four months after surgery, the patient remains asymptomatic without evidence of disease. CONCLUSION:Inflammatory pseudotumor of the pelvic lymph nodes is a rare entity and should be included in the differential diagnosis of patients with persistent fever and lymphadenopathy.

journal_name

Obstet Gynecol

authors

Spannuth WA,Leath CA 3rd,Conner MG,Alvarez RD

doi

10.1097/01.AOG.0000201973.13715.ee

subject

Has Abstract

pub_date

2006-09-01 00:00:00

pages

779-82

issue

3 Pt 2

eissn

0029-7844

issn

1873-233X

pii

108/3/779

journal_volume

108

pub_type

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