A Case of Foreign Body Granuloma Caused by Subcutaneous Injection of Leuprorelin Acetate.
- Author:
Ki Rang MOON
1
;
Hee Sun LIM
;
Jee Bum LEE
;
Seong Jin KIM
;
Seung Chul LEE
;
Young Ho WON
;
Sook Jung YUN
Author Information
1. Department of Dermatology, Chonnam National University Medical School, Gwangju, Korea. sjyun@chonnam.ac.kr
- Publication Type:Case Report
- Keywords:
Foreign body granuloma;
Leuprorelin acetate
- MeSH:
Abdomen;
Aged;
Arm;
Breast;
Dermis;
Diagnosis;
Foreign Bodies*;
Giant Cells;
Gonadotropin-Releasing Hormone;
Granuloma, Foreign-Body*;
Humans;
Injections, Subcutaneous*;
Leuprolide*;
Necrosis;
Prostatic Neoplasms;
Radiotherapy;
Triamcinolone;
Vacuoles
- From:Korean Journal of Dermatology
2016;54(8):634-637
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Leuprorelin acetate is a synthetic analog of luteinizing hormone-releasing hormone (LHRH). Recently, hormone-dependent tumors (prostate cancer and breast cancer) have been treated without surgery using this LHRH agonist. A 74-year-old man presented with a subcutaneous tumor in the abdomen. He had received a subcutaneous injection of depot leuprorelin acetate 2 months previously and radiotherapy for prostate cancer. The subcutaneous tumor was totally excised. Histopathologic findings revealed necrosis of fat tissue, many granulomatous nodules composed of giant cells with vacuoles in the dermis and subcutis, and inflammatory cell infiltrates, including mainly lymphohistiocytes. A diagnosis of foreign body granuloma due to depot injection of leuprorelin acetate was made. He revisited our hospital after 1 month with a subcutaneous tumor on his Lt. upper arm. He had received a subcutaneous injection of leuprorelin acetate 1 week ago on that site. We treated it with intralesional triamcinolone injection. Here, we report a case of granulomatous reaction due to leuprorelin acetate injection, which produced subcutaneous nodules.
