ECE2016 Eposter Presentations Thyroid cancer (81 abstracts)
An unusual case in endocrinology practice: suture granuloma
Guven Baris Cansu 1 , Bengur Taskiran 1 , Tulay Bakar 2 & Betul Peker Cengiz 3
1Department of Endocrinology and Metabolsim, Yunusemre State Hospital, Eskisehir, Turkey; 2Department of Radiology, Yunusemre State Hospital, Eskisehir, Turkey; 3Department of Pathology, Yunusemre State Hospital, Eskisehir, Turkey.
Background: Suture granuloma, the rare complication of thyroidectomy, results from use of nonabsorbable suture materials. Despite its typical ultrasound images and benign course, it carries utmost importance in differential diagnosis of lymph nodes, recurrent nodules, and recurrence in case of thyroid cancers.
Case report: A 54-year-old female patient, who underwent bilateral thyroidectomy in July 2010, was diagnosed with multinodular goiter and incidentally discovered micropapillary carcinoma (2 mm). Four years later she was readmitted to hospital due to painless swelling in the right and left anterior neck region. Ultrasonography revealed nodules with irregular boundaries, containing micro and macrocalcifications and hyperechoic lines in both sides of thyroid bed and isthmus. Fine needle aspiration biopsy was performed in the right and left sided mass and cytologic examination was compatible with the diagnosis of suture granuloma.
Conclusion: Suture granuloma should be considered in differential diagnosis of local recurrence of thyroid disease and lymph node metastasis in patients who undergo thyroidectomy.
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Endocrine Abstracts
ISSN 1470-3947 (print) | ISSN 1479-6848 (online)
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