We present a 28 year old female with palpable mass in the neck and ultrasound shows a mass encasing the carotid. We have given the possibility as inflammatory pseudotumour of carotid sheath. Further evaluation with cross sectional imaging with contrast is suggested. We will update with follow up. The treatment of pseudotumor includes use of steroids, but a definitive diagnosis often requires surgery. This is a benign process but it occasionally recurs.Nonspecific, nonneoplastic benign inflammatory process without identifiable local or systemic causes characterized by polymorphous lymphoid infiltrate with varying degrees of fibrosis. Case Submitted by Dr Ravi Kadasne, senior radiologist at Emirates International Hospital Al aAin, UAE. Comments are welcome.
1 comment:
i have already seen another case in my hospital "sayed Galal hospital- Alazhar university" with the same criteria and same imaging characteristics as your case, US images were typical to those posted by you. i reported it as a benign condition , but , i was not sure that it is inflammatory pseudotumour
inflammatory pseudotumour of he carotid sheath is a very very rare condition,
i will be very happy to hear from you the post surgical feed back of your patient , and if the biopsy has confirmed the diagnosis or not , as i had lost the ways of connection to my patient
Post a Comment