Inflammatory pseudotumor (IPT)-like follicular dendritic cell (FDC) sarcoma is an extremely rare neoplasm, almost exclusively occurring in spleen or liver. It is generally regarded as a distinctive pathological variant from the conventional FDC sarcoma. Herein, we present the case of a 65-year-old woman with an incidentally found splenic tumor, proven to be an IPT-like FDC sarcoma pathologically. According to previous case reports, splenic IPT-like FDC sarcoma may show mild enhancement initially with progressive and persistent enhancement on the delayed phase on computed tomography (CT) and magnetic resonance imaging. The CT findings of our case are consistent with those of previous reports. The imaging feature of this extremely rare IPT-like FDC sarcoma may help radiologists to differentiate it from other benign or malignant splenic tumors.
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