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一例罕见的胸腔内高佐瘤。

A rare case of intrathoracic Gauzoma.

作者信息

Adachi Taishi, Kayawake Hidenao, Hamakawa Hiroshi, Takahashi Yutaka

机构信息

Department of Thoracic Surgery, Kobe City Medical Center General Hospital, 2-1-1 Minatojima-Minamimachi, Chuo-ku, Kobe, 650-0047, Japan.

出版信息

J Cardiothorac Surg. 2025 Jan 8;20(1):47. doi: 10.1186/s13019-024-03264-y.

Abstract

BACKGROUND

Gauzoma is a foreign body reactive granuloma which is an extremely rare complication of thoracic surgery. We describe a case of a Gauzoma in which the gauzes were removed by mini-thoracotomy as a less invasive procedure, discovered incidentally after 35 years of follow-up.

CASE PRESENTATION

A 51-year-old man was referred to our department for hyperhidrosis treatment, and imaging studies and biopsy confirmed the diagnosis of Gauzoma. As the Gauzoma gradually grew for a few years, surgical intervention was judged necessary, and the removal of the gauzes was performed in this case. A two-stage operation in two days was required to complete the surgery. The completion of gauze removal was confirmed in the second surgery using a postoperative computed tomography (CT) scan. The patient is currently doing well 17 months after surgery, and the size of granuloma unchanged.

CONCLUSION

We performed the removal of the gauzes as the treatment for Gauzoma. Although removing the gauze may have prevented its growth so far, careful follow-up is still needed.

摘要

背景

纱布瘤是一种异物反应性肉芽肿,是胸外科极为罕见的并发症。我们描述了一例纱布瘤病例,通过微创开胸手术取出纱布,该病例在随访35年后偶然发现。

病例介绍

一名51岁男性因多汗症转诊至我科,影像学检查和活检确诊为纱布瘤。由于纱布瘤在几年间逐渐增大,判断有必要进行手术干预,本病例遂进行了纱布取出术。手术分两天进行两阶段操作完成。第二次手术通过术后计算机断层扫描(CT)确认纱布已取出。患者术后17个月目前情况良好,肉芽肿大小未变。

结论

我们进行了纱布取出术作为纱布瘤的治疗方法。尽管到目前为止取出纱布可能阻止了其生长,但仍需要密切随访。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e37a/11716325/f820d3e229de/13019_2024_3264_Fig1_HTML.jpg

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