Abstract
Inflammatory pseudotumour (IPT) of the spleen is a very rare benign entity that can clinically and radiologically be misconstrued as malignant. We describe a case in a 62-year-old woman who was incidentally found to have a 5.3 cm mass on abdominal ultrasound. On MRI, the mass had irregular margins and internal necrosis, raising suspicion for a malignancy. The woman then underwent a splenectomy. Histology showed a well circumscribed lesion characterised by a proliferation of bland uniform spindle cells in a background dense mixed inflammatory infiltrate consisting of lymphocytes, plasma cells and eosinophils.
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