Annals of Thoracic Medicine Official publication of the Saudi Thoracic Society, affiliated to King Saud University
 
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CASE REPORT
Year : 2017  |  Volume : 12  |  Issue : 1  |  Page : 55-56

A foreign body reaction to Surgicel® in a lymph node diagnosed by endobronchial ultrasound-guided transbronchial needle aspiration


1 Department of Pulmonology, Hospital del Mar Parc de Salut Mar, UAB, CIBERES, ISCIII; IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain
2 IMIM (Hospital del Mar Medical Research Institute); Department of Pathology, Hospital del Mar Parc de Salut Mar, UAB, Barcelona, Spain

Correspondence Address:
Albert Sánchez-Font
Department of Pulmonology, Endoscopy Unit, Hospital del Mar-Parc de Salut Mar, Passeig Marítim 25-29, Barcelona 08003
Spain
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DOI: 10.4103/1817-1737.197780

PMID: 28197224

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Surgicel ® (Ethicon, North Ryde, NSW, Australia) is an absorbable sheet of oxidized cellulose polyanhydroglucuronic acid polymer used as an hemostatic in cardiovascular and thoracic surgery. In some cases, the retained material may cause foreign body granulomatous reactions and simulate tumor recurrence, an abscess, an hematoma, or an infection. We report the case of a 55-year-old patient who was operated of a lung adenocarcinoma. In the thoracic computed tomography scan 1 year after the surgery, a right paratracheal lymph node was detected, so endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) was performed suspecting recurrence of the tumor. The cytology results of the lymph node showed a nonnecrotizing granulomatous reaction secondary to Surgicel ® , used as an hemostatic during the surgery. The objective of presenting this case is to consider foreign body reaction to Surgicel ® in the differential diagnosis of postoperative suspicion of neoplastic recurrence, and on the other hand, to note that EBUS-TBNA enables diagnosis.


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