Badenes Diana, Pijuan Lara, Curull Víctor, Sánchez-Font Albert
Department of Pulmonology, Hospital del Mar-Parc de Salut Mar, UAB, CIBERES, ISCIII, Barcelona, Spain; IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain.
IMIM (Hospital del Mar Medical Research Institute), Barcelona, Spain; Department of Pathology, Hospital del Mar-Parc de Salut Mar, UAB, Barcelona, Spain.
Ann Thorac Med. 2017 Jan-Mar;12(1):55-56. doi: 10.4103/1817-1737.197780.
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.
速即纱（美国强生公司澳大利亚新南威尔士州北莱德分公司生产）是一种可吸收的氧化纤维素聚脱水葡萄糖醛酸聚合物薄片，用于心血管和胸外科手术中的止血。在某些情况下，残留物质可能会引起异物肉芽肿反应，并类似肿瘤复发、脓肿、血肿或感染。我们报告一例55岁接受肺腺癌手术的患者。术后1年的胸部计算机断层扫描中，发现右气管旁淋巴结，因此怀疑肿瘤复发而行支气管内超声引导下经支气管针吸活检（EBUS-TBNA）。淋巴结的细胞学结果显示为速即纱引起的非坏死性肉芽肿反应，速即纱在手术中用作止血材料。介绍该病例的目的是在术后怀疑肿瘤复发的鉴别诊断中考虑对速即纱的异物反应，另一方面，要注意EBUS-TBNA能够实现诊断。
