Mavrigiannaki P E, Dastamani C, Vouza E, Lambropoulou E, Kairi-Vassilatou E, Kondi-Pafiti A
Department of Pathology, Aretaieon Hospital, University of Athens, Athens, Greece.
Clin Exp Obstet Gynecol. 2011;38(3):294-6.
The case of a 20-year-old pregnant woman with a history of one previous cesarean section (CS) who developed a tumorous mass in the area of the CS scar is presented. The clinical diagnosis of endometriosis or fibromatosis was made but the histologic findings were confusing and the pathological diagnosis of an inflammatory type of liposarcoma was made. The case was referred to our Laboratory for re-evaluation and the diagnosis of gossypiboma was made based on histopathological features, the patient's age, her medical history and the exact location of the lesion. Gossypiboma is a foreign body-related inflammatory pseudotumor caused by retained non-resorbable or even resorbable substances, such as glue, surgical gause or sutures. It is an obscure lesion ignored by doctors of all specialties studying the differential diagnosis of a postoperative mass.
本文介绍了一名20岁孕妇的病例，该孕妇既往有一次剖宫产史，剖宫产瘢痕部位出现了一个肿瘤样肿块。临床诊断为子宫内膜异位症或纤维瘤病，但组织学检查结果令人困惑，最终病理诊断为炎症型脂肪肉瘤。该病例被转诊至我们实验室进行重新评估，根据组织病理学特征、患者年龄、病史及病变的确切位置，诊断为棉绒瘤。棉绒瘤是一种由残留的不可吸收甚至可吸收物质（如胶水、手术纱布或缝线）引起的与异物相关的炎性假瘤。它是一种易被各专科医生在研究术后肿块鉴别诊断时忽略的隐匿性病变。
