Extremity gossypiboma mimicking sarcoma: case report and review.


Journal

Skeletal radiology
ISSN: 1432-2161
Titre abrégé: Skeletal Radiol
Pays: Germany
ID NLM: 7701953

Informations de publication

Date de publication:
Apr 2019
Historique:
received: 09 07 2018
accepted: 27 08 2018
revised: 27 08 2018
pubmed: 12 9 2018
medline: 26 2 2019
entrez: 12 9 2018
Statut: ppublish

Résumé

A 70-year-old man with a history of bladder and colon cancer presented with an enlarging mass in his right lower extremity. Forty years before presentation, he had injured his right lower extremity in a motor vehicle accident. Imaging findings indicated suspected sarcoma, which led to biopsy. Biopsy and further surgical exploration revealed the presence of a surgical sponge and surrounding local inflammatory reaction. No neoplasm was found, and the sponge and involved tissues were removed. Gossypiboma is exceedingly rare in the extremities. Imaging of retained foreign material can appear suggestive of sarcoma because of strong inflammatory responses and local tissue mass-like derangement resulting in heterogeneous signal changes. Ultimately, biopsy must be performed to ensure that no oncological pathological condition is present.

Identifiants

pubmed: 30203183
doi: 10.1007/s00256-018-3059-5
pii: 10.1007/s00256-018-3059-5
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

629-635

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Auteurs

Varun Puvanesarajah (V)

Division of Orthopaedic Oncology, Department of Orthopaedic Surgery, The Johns Hopkins University, 601 North Caroline Street, Baltimore, MD, 21287, USA.

Laura M Fayad (LM)

Division of Orthopaedic Oncology, Department of Orthopaedic Surgery, The Johns Hopkins University, 601 North Caroline Street, Baltimore, MD, 21287, USA.
Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University, 601 North Caroline Street, Baltimore, MD, 21287, USA.
Department of Oncology, The Johns Hopkins University, 401 North Broadway, Baltimore, MD, 21287, USA.

Sandesh S Rao (SS)

Division of Orthopaedic Oncology, Department of Orthopaedic Surgery, The Johns Hopkins University, 601 North Caroline Street, Baltimore, MD, 21287, USA.

Edward F McCarthy (EF)

Department of Pathology, The Johns Hopkins University, 1800 Orleans Street, Baltimore, MD, 21287, USA.

Carol D Morris (CD)

Division of Orthopaedic Oncology, Department of Orthopaedic Surgery, The Johns Hopkins University, 601 North Caroline Street, Baltimore, MD, 21287, USA. cmorri61@jhmi.edu.
Department of Oncology, The Johns Hopkins University, 401 North Broadway, Baltimore, MD, 21287, USA. cmorri61@jhmi.edu.

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Classifications MeSH