Suture Granuloma With False-Positive Findings on FDG-PET/CT Resected via Laparoscopic Surgery.

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.

journal_name

Int Surg

journal_title

International surgery

authors

Takeshita N,Tohma T,Miyauchi H,Suzuki K,Nishimori T,Ohira G,Narushima K,Imanishi S,Toyozumi T,Matsubara H

doi

10.9738/INTSURG-D-14-00140.1

subject

Has Abstract

pub_date

2015-04-01 00:00:00

pages

604-7

issue

4

eissn

0020-8868

issn

2520-2456

journal_volume

100

pub_type

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