PELVIC INFLAMMATORY PSEUDOTUMOR WITH PREDOMINANT MACROPHAGIC REACTION

We describe the clinical and pathological features of a case of inflam matory pseudotumor of the pelvis, exceptionally reported in the female genital tract. Macroscopically the lesion consisted in several yellow ish nodules, one on the uterus fundus, others along the ureteral seros a and the urinary bladder suggesting a multifocal pelvic malignancy du ring the surgical intervention. The histological examination of the no dules showed a total lack of malignant cell proliferation and a macrop hagic reaction, enclosing numerous non birefringent heterogeneous crys tal structures. In the patient file no colonic diverticulosis or previ ous pelvic surgical excision was recorded. The differential diagnosis in particular malignant tumors is discussed.