Nonabsorbable suture granuloma mimicking ovarian cancer recurrence at combined positron emission tomography/computed tomography evaluation: a case report

Journal of Medical Case Reports

Pierluigi Benedetti Panici¹  Innocenza Palaia¹  Primo Pennesi¹  Elisa Bevilacqua¹  Angela Musella¹  Lucia di Francesco¹  Laura Vertechy¹  Carlotta Bracchi¹  Roberta Iadarola¹  Laura Salerno¹  Claudia Marchetti¹  Ludovica Imperiale¹ 

[1] Department of Gynecological and Obstetrical Sciences and Urological Sciences, Sapienza University of Rome, Via del Policlinico, 155, 00161 Rome, Italy

关键词: Surgery;    Foreign body;    Diagnosis;    Cancer;   

Others  :  817505
DOI  :  10.1186/1752-1947-8-202

 received in 2014-01-30, accepted in 2014-04-22,  发布年份 2014

【 摘 要 】

Introduction

This is the first case of suture granuloma mimicking isolated ovarian cancer relapse. Only six analogous cases have been previously reported in other malignancies.

Case presentation

We report the case of a 44-year-old Caucasian woman with partially platinum-sensitive ovarian cancer in which radiological features, including computed tomography and combined ¹⁸F-fluorodeoxyglucose-positron emission tomography/computed tomography, were strongly suggestive of isolated cancer relapse in her right subdiaphragmatic region. Laparoscopic examination resulted negative, but was not completely suitable due to widespread adhesive syndrome. The laparotomy for secondary cytoreductive surgery and biopsy of the suspected area showed inflammatory granuloma caused by nonabsorbable propylene suture, without evidence of neoplastic cells. Moreover, unexpected peritoneal carcinosis was found.

Conclusions

This evidence suggests that clinical details about previous surgical procedures are necessary for adequate interpretation. Although much progress has been made in imaging techniques, especially in the promising field of combined ¹⁸F-fluorodeoxyglucose positron emission tomography/computed tomography, these procedures should be still thoroughly investigated in order to promptly rule out tumor recurrence and avoid unnecessary surgery.

【 授权许可】

   
2014 Imperiale et al.; licensee BioMed Central Ltd.

【 图 表 】

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