Skull base inflammatory pseudotumour involving the rhinopharyngeal space.

OBJECTIVE

To describe a rare case of inflammatory pseudotumour (IPT) at the skull base involving the right rhinopharyngeal space.

METHODS

A case is presented; the clinical and therapeutic issues of IPT are reviewed and discussed.

RESULTS

The mass resembled a malignant tumour or an aggressive infectious lesion; the final diagnosis was inflammatory pseudotumour. A complete regression of the mass was achieved after treatment with high dose oral steroids followed by maintenance steroid therapy.

CONCLUSIONS

IPT should be considered in the differential diagnosis of rhinopharyngeal malignancies in order to avoid inappropriate (surgical) treatment.