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Idiopathic fibrosclerotic disorders and other inflammatory pseudotumors.
[focal myositis]
Fibroinflammatory
disorders
constitute
heterogeneous
clinical
conditions
whose
cause
and
pathogenesis
are
largely
unknown
.
Inflammatory
pseudotumor
has
been
applied
in
a
generic
sense
to
several
of
these
disorders
,
which
present
as
a
mass
displacing
surrounding
anatomic
structures
or
leading
to
organ
dysfunction
secondary
to
compressive
growth
around
the
ureter
(
s
)
,
common
bile
duct
,
or
great
vessels
in
the
mediastinum
.
The
fibrosclerosing
disorders
of
retroperitoneal
fibrosis
,
sclerosing
mediastinitis
,
sclerosing
cholangitis
,
orbital
pseudotumor
,
and
Riedel
thyroiditis
are
seemingly
related
in
a
clinical
sense
because
there
are
well-documented
cases
of
patients
with
two
or
more
of
these
conditions
and
reports
of
these
disorders
presenting
in
family
members
.
Although
the
pathogenesis
of
the
fibrosclerotic
disorders
has
not
been
elucidated
,
autoimmunity
in
the
context
of
an
established
collagen
vascular
disease
or
the
setting
of
inflammatory
periaortitis
in
retroperitoneal
fibrosis
has
been
one
suggested
mechanism
.
In
the
course
of
the
diagnostic
evaluation
of
an
individual
with
a
suspected
fibrosclerotic
disorder
,
it
is
imperative
to
exclude
an
underlying
infection
or
malignancy
.
This
caveat
is
especially
relevant
to
sclerosing
mediastinitis
as
a
presentation
of
histoplasmosis
or
to
retroperitoneal
fibrosis
secondary
to
a
sclerosing
large
cell
lymphoma
.
Sclerosing
mesenteritis
has
some
clinical
and
pathological
overlap
with
the
fibrosclerotic
disorders
,
but
its
nosologic
and
pathogenetic
relationship
is
uncertain
at
this
time
.
There
are
several
other
fibroinflammatory
processes
,
such
as
focal
myositis
,
inflammatory
fibroid
polyp
of
the
gastrointestinal
tract
,
calcifying
fibrous
pseudotumor
,
and
sclerosing
peritonitis
,
which
are
probably
unrelated
to
inflammatory
myofibroblastic
tumor
or
the
primary
fibrosclerotic
disorders
.
Diseases
Validation
Diseases presenting
"organ dysfunction secondary to compressive growth around the ureter"
symptom
focal myositis
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