1999
DOI: 10.1007/s002470050553
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Aggressive manifestations of inflammatory pulmonary pseudotumor in children

Abstract: We present three cases that illustrate the locally invasive radiographic appearance that inflammatory pulmonary pseudotumor can assume. Awareness and inclusion of inflammatory pseudotumor in the differential diagnosis of aggressive pleuropulmonary and mediastinal processes may have critical treatment implications.

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Cited by 85 publications
(71 citation statements)
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“…[23][24][25][26][27][28] They are more frequently seen in the lower lobe of the right lung, and form a solitary, oval, and well defined lobulated mass that is peripherally located. [29][30][31] A mass lesion is located peripherally in 87% and centrally in 6%, and the lesions can present radiologically as multiple nodular (5%), pleural based, cavitary lesions (5%), or can present with lobar atelectasis (8%) or hilar lymphadenopathy (5%). 32,33 The World Health Organization's defini- tion is a lesion composed of a myofibroblastic spindle cell population accompanied by an inflammatory infiltrate of plasma cells, lymphocytes, and eosinophils.…”
Section: Discussionmentioning
confidence: 99%
“…[23][24][25][26][27][28] They are more frequently seen in the lower lobe of the right lung, and form a solitary, oval, and well defined lobulated mass that is peripherally located. [29][30][31] A mass lesion is located peripherally in 87% and centrally in 6%, and the lesions can present radiologically as multiple nodular (5%), pleural based, cavitary lesions (5%), or can present with lobar atelectasis (8%) or hilar lymphadenopathy (5%). 32,33 The World Health Organization's defini- tion is a lesion composed of a myofibroblastic spindle cell population accompanied by an inflammatory infiltrate of plasma cells, lymphocytes, and eosinophils.…”
Section: Discussionmentioning
confidence: 99%
“…Increased parenchymal density around the lesion has been noticed in some studies which are related to peribronchial fibrosis with a patchy distribution, peribronchial lymphoplasmacytic infiltrates and intraalveolar organization and edema. A poorly circumscribed lesion with spiculated margins causes difficulty in differentiating from malignant lesions 8,9 Aggressive features of inflammatory pseudotumor have been reported which include vertebral destruction, vascular invasion. 8 CT aids in the delineation of the geographical location of the lesion besides added value in studying the internal characteristics of the lesions.…”
Section: Radiologicmentioning
confidence: 99%
“…A poorly circumscribed lesion with spiculated margins causes difficulty in differentiating from malignant lesions 8,9 Aggressive features of inflammatory pseudotumor have been reported which include vertebral destruction, vascular invasion. 8 CT aids in the delineation of the geographical location of the lesion besides added value in studying the internal characteristics of the lesions. In two of our cases, CT demonstrated central necrosis.…”
Section: Radiologicmentioning
confidence: 99%
“…The tumor rarely undergoes malignant transformation. The potential for recurrence and focal invasion are reported in oncologic, surgical, and radiological literature (2)(3)(4). Reports and radiologic imaging of malignant transformation, however, are very few (5) and to our knowledge, this is the first report that provides imaging of distant metastasis.…”
mentioning
confidence: 90%