Postoperative Foreign Body Granuloma, which was Overdiagnosed as a Metastatic Lymph Node: The Role of Laparoscopy and Laparoscopic Ultrasonography in the Evaluation of Metastatic Lesions.
- Author:
Yun Suhk SUH
1
;
Do Joong PARK
;
Hyung Ho KIM
;
Ho Seong HAN
;
Hyuk Joon LEE
;
Han Kwang YANG
;
Kuhn Uk LEE
Author Information
1. Department of Surgery, Seoul National University College of Medicine, Korea. hhkim@snubh.org
- Publication Type:Case Report
- Keywords:
Diagnostic laparoscopy;
Foreign body granuloma;
Laparoscopic gastrectomy;
Laparoscopic ultrasonography
- MeSH:
Adenoma;
Adrenalectomy;
Foreign Bodies*;
Gastrectomy;
Granuloma, Foreign-Body*;
Laparoscopy*;
Lymph Node Excision;
Lymph Nodes*;
Neoplasm Metastasis;
Pancreas;
Pathology;
Recurrence;
Stomach Neoplasms;
Ultrasonography*
- From:Journal of the Korean Surgical Society
2007;72(3):239-243
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report the case of a postoperative foreign body granuloma, which was misdiagnosed as a metastatic lymph node, but confirmed by laparoscopic removal. A-68-year old man was admitted for the management of a suspected metastatic lymph node. He had undergone a laparoscopy-assisted distal gastrectomy, with simultaneous D2 lymph node dissection and a left adrenalectomy for T1N0M0 early gastric cancer and an adrenal adenoma 8 months previously. Preoperative computed tomography and whole body PET showed a 1.6 cm sized suspected metastatic lymph node between the efferent jejunal loop and pancreas tail. A diagnostic laparoscopy was performed for pathological confirmation. After laparoscopic adhesiolysis, the lesion was localized using laparoscopic ultrasonography, with the mass also removed laparoscopically. Permanent pathology revealed the mass to be a foreign body granuloma, but without malignancy. In cases of suspected local recurrence or lymph node metastasis following radical surgery, a diagnostic laparoscopic procedure could play a role in confirming the recurrence.
