Gossypiboma mimicking recurrent mandibular tumor: case report

Czech version

Authors: Katarína Adamicová ¹; Mária Janíčková ²; Katarína Mikušková ²; Dagmar Statelová ²
Authors‘ workplace: Ústav patologickej anatómie, Univerzita Komenského v Bratislave, Jesseniova lekárska fakulta v Martine a Univerzitná nemocnica Martin ¹; Klinika stomatológie a maxilofaciálnej chirurgie, Univerzita Komenského v Bratislave, Jesseniova lekárska fakulta v Martine a Univerzitná nemocnica Martin ²
Published in: Čes.-slov. Patol., 56, 2020, No. 3, p. 168-171
Category: Original Articles

Overview

Gossypiboma is not a commonly known surgical complication. It is a tumorous lesion usually caused by hemostatic material used in surgery. Such lesions are most commonly described after abdominal surgery. In this case report, the authors describe a case of a 17 year old female patient, operated for a mandible tumor. Histopathologically it was an ameloblastoma. The patient was treated lege artis, with the use of Surgicel^® felt (Surgicel Fibrillar^TM Absorbable Hemostat). After two months, the young woman returned to clinics with a tumorous lesion at the same location. On the CT scan the lesion appeared to be a recurrence of the originally diagnosed ameloblastoma. Histopathologically, the lesion consisted of a foreign material with surrounding granulation tissue and massive inflamation. The foreign material had an atypical structure. Subsequent consultations and consensus at the clinic confirmed that it was a haemostatic foreign material with a surrounding hyper-inflammatory response mimicking a tumor, known in the literature under various names, most often as gossypiboma or textiloma.

Keywords:

gossypiboma – textiloma – Surgicel – mandibular tumor – tumor recurrence

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