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Suture Granuloma With False-Positive Findings on FDG-PET/CT Resected via Laparoscopic Surgery.
- Source :
-
International surgery [Int Surg] 2015 Apr; Vol. 100 (4), pp. 604-7. - Publication Year :
- 2015
-
Abstract
- A 61-year-old woman who had undergone total hysterectomy 16 years previously exhibited a pelvic tumor on computed tomography (CT). F-18 fluorodeoxyglucose (FDG) combined positron emission tomography (PET)/CT imaging revealed a solitary small focus of increased FDG activity in the pelvis. A gastrointestinal stromal tumor originating in the small intestine or another type of tumor originating in the mesentery (desmoid, schwannoma, or foreign body granuloma) was suspected; therefore, laparoscopic resection was conducted. A white, hard tumor was found to originate from the mesentery of the sigmoid colon and adhered slightly to the small intestine. The tumor was resected with a negative margin, and the pathologic diagnosis was suture granuloma. The possibility of suture granuloma should be kept in mind in cases of tumors with positive PET findings and a history of surgery close to the lesion. However, it is difficult to preoperatively diagnose pelvic tumors using a biopsy. Therefore, considering the possibility of malignancy, it is necessary to achieve complete resection without exposing the tumor.
- Subjects :
- Biopsy
Diagnosis, Differential
False Positive Reactions
Female
Fluorodeoxyglucose F18
Granuloma diagnosis
Humans
Hysterectomy
Middle Aged
Positron-Emission Tomography
Radiopharmaceuticals
Sigmoid Diseases diagnosis
Tomography, X-Ray Computed
Granuloma surgery
Laparoscopy
Sigmoid Diseases surgery
Sutures adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 2520-2456
- Volume :
- 100
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- International surgery
- Publication Type :
- Academic Journal
- Accession number :
- 25875540
- Full Text :
- https://doi.org/10.9738/INTSURG-D-14-00140.1