Department of Otorhinolaryngology-Head and Neck Surgery, Inha University School of Medicine, Incheon, Korea.
Clin Exp Otorhinolaryngol. 2013 Dec;6(4):269-71. doi: 10.3342/ceo.2013.6.4.269. Epub 2013 Nov 29.
A gossypiboma (also called textiloma or retained surgical sponge) of the neck is rarely reported compared to intraabdominal or intrathoracic gossypibomas and also can be misdiagnosed as metastatic lymph nodes. A patient was referred to our clinic for a supraclavicular neck mass 6 months after thyroidectomy and neck dissection for papillary thyroid carcinoma in another hospital. It was initially considered an isolated neck recurrence, but it was finally diagnosed as gossypiboma by a pathological examination of the surgically-excised specimen. Characteristic findings of computed tomography or positron emission tomography/computed tomography might be helpful to differentiate the gossypiboma from malignant neck mass or other inflammatory conditions. It is essential for clinicians to be aware of this disease entity in differential diagnosis of neck recurrence because a gossypiboma in the neck can be misinterpreted as a malignancy to induce unwarranted radical surgery.
与腹腔或胸腔内的棉织物遗留相比，颈部的棉织物遗留（也称为纱布遗留或医用缝线遗留）非常罕见，并且也可能被误诊为转移性淋巴结。一名患者在另一家医院因甲状腺乳头状癌行甲状腺切除术和颈部清扫术后 6 个月，因锁骨上颈部肿块就诊于我院。最初考虑为孤立性颈部复发，但最终通过手术切除标本的病理检查诊断为纱布遗留。计算机断层扫描或正电子发射断层扫描/计算机断层扫描的特征性发现可能有助于将纱布遗留与恶性颈部肿块或其他炎症性疾病区分开来。对于临床医生来说，在颈部复发的鉴别诊断中意识到这种疾病实体是很重要的，因为颈部的纱布遗留可能被误诊为恶性肿瘤，从而导致不必要的根治性手术。
