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Problematic Imaging Diagnostics of Musculoskeletal Gossypiboma with Chronic Expanding Hematoma Mimicking Malignant Lesion
T. Kucera, L. Prokes, J. Soukup, J. Brtkova, O. Valtr, P. Sponer
Status not-indexed Language English Country Switzerland
Document type Journal Article
Grant support
00179906
Cooperatio Program (research area SURG) and MHCZ - DRO (UHHK, 00179906)
EF16 013/0001674
European Regional Development Fund-Project BBMRI-CZ: Biobank network - a versatile platform for the research of the etiopathogenesis of diseases, No: EF16 013/0001674
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- Publication type
- Journal Article MeSH
Both musculoskeletal gossypibomas and chronic expanding hematomas have been rarely reported; the reports that do exist are usually case reports. Our objective is to demonstrate problematic imaging diagnostics of an unusual presentation mimicking a malignant lesion. We report the case of a 47-year-old man who underwent bone graft harvesting from the iliac crest for spinal fusion due to scoliosis at 18 years of age, and 29 years later, he developed a growing, painful tumor at the original donor site (a bone defect in the iliac crest). It was challenging to differentiate a hematoma from a malignant tumor based solely on clinical and radiological workup, including an ultrasound-guided needle biopsy focused on viable tissue. The definitive diagnosis of a gossypiboma with a chronic expanding hematoma was based on histopathological assessment after wide surgical resection-a chronic expanding hematoma with multiple foamy macrophages and giant cells engulfing foreign material (original surgical hemostatic sponge).
References provided by Crossref.org
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