Multifocal Pelvic and Pancreatic Masses Secondary to Granulomatous Polyangiitis Resolved with Pulsed Immunosuppression

Malignancy often tops the differential diagnosis of multifocal masses in a middle-aged lady. In addition, certain disease conditions like vasculitis, haematomas, and developmental anomalies like hamartomas should be considered a differential apart from ruling out benign and malignant tumours. This patient presented acutely with anaemia, renal impairment and weight loss setting us in the direction of ruling out malignancy; a however high index of suspicion and negative biopsy results with positive serology helped make a prompt diagnosis of ANCA positive GPA. Institution of immunosuppressive treatment resulted in complete resolution of these masses and a positive outcome.