Inflammatory Pseudotumor of an Orbito-Maxillary Mass Masquerading as a Malignancy

Authors

  • Maria Cristina C. da Silva Department of Otolaryngology Head and Neck Surgery, St. Luke’s Medical Center
  • Joel A. Romualdez Department of Otolaryngology Head and Neck Surgery, St. Luke’s Medical Center
  • Norberto A. Martinez Department of Otolaryngology Head and Neck Surgery, St. Luke’s Medical Center; Department of Otolaryngology Head and Neck Surgery, Santo Tomas University Hospital

DOI:

https://doi.org/10.32412/pjohns.v21i1-2.829

Keywords:

Orbito-Maxillary Mass, Inflammatory Pseudotumor, Pseudotumor, Orbital Pseudotumor

Abstract

Objective: To present a case of a benign orbito-maxillary tumor behaving as an invasive,

expansive malignancy.

 

Design: Case report

 

Setting: A tertiary care hospital in Metro Manila

 

Patient: A 4-year-old boy with a seven month history of right orbito-maxillary mass, proptosis and epiphora.

Result: A series of biopsies were done before a definite diagnosis was made due to inconsistencies in the histopathologic findings, clinical picture, and the radiologic presentation of the case. After diagnosis, appropriate intervention resulted in a dramatic decrease in the size of the mass. At present, the patient is disease-free and asymptomatic.

 

Conclusion: Histopathologic diagnosis of Inflammatory Pseudotumor is difficult and differentiating it from malignant tumors is often a concern for otolaryngologists and pathologists. In spite of an initial malignant biopsy result, the combination of clinical signs and symptoms and radiologic findings of an infiltrative mass lesion, should not discount the possibility of a benign entity such as Inflammatory Pseudotumor for which treatment is conservative.

 

Keywords: Orbito-Maxillary Mass, Inflammatory Pseudotumor, Pseudotumor, Orbital Pseudotumor

 

 

 

 

 

 

 

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Published

2019-01-01

How to Cite

1.
da Silva MCC, Romualdez JA, Martinez NA. Inflammatory Pseudotumor of an Orbito-Maxillary Mass Masquerading as a Malignancy. Philipp J Otolaryngol Head Neck Surg [Internet]. 2019 Jan. 1 [cited 2024 Jul. 17];21(1-2):1-. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/829

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