ArticleInternational journal of surgery case reports2018
Suture granulomas developing after the treatment of oral squamous cell carcinoma.
Article in International journal of surgery case reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed, 9 citations in OpenAlex.
- PET-positive suture granuloma of abdominal wall 56 years post-appendicectomy mimicking recurrence of lymphoma.BMJ case reports · 2023Article
- Dermatoscopic features of acute granulomatous ulceronecrotic herpes zoster of the face.JAAD case reports · 2022Article
- Suture granuloma extending intra-abdominally, detected five months postappendectomy.BJR case reports · 2021Article
- Non-healing wounds: Can it take different diagnosis?International wound journal · 2020Article
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8 authors at 2 institutions in 1 country.
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Abstract
introductionSuture granuloma is a benign tumor that develops because of the presence of surgical suture materials. It commonly occurs several years after different types of surgeries. Here we report a case involving a 64-year-old man who underwent head and neck surgery for oral squamous cell carcinoma and developed multiple suture granulomas mimicking tumor recurrence in the radiation field just a few days after the completion of adjuvant chemoradiation therapy. PRESENTATION OF CASE: The patient underwent surgery for lymph node metastasis in the neck at 6 months after the resection of primary oral squamous cell carcinoma. Fifteen days after the completion of adjuvant chemoradiation therapy at a total dose of 50 Gy, small nodules appeared in the radiation field, along the areas of the subcutaneous surgical sutures. Cancer recurrence was initially suspected, but histopathological analysis of a biopsy specimen confirmed foreign body granuloma. DISCUSSION: Chemoradiation therapy may enhance the immunoreaction of macrophages in the radiation field and promote the formation of granulation tissue in a short period of time. In addition, cisplatin, which was concurrently administered with radiation in our case, could have influenced the development of the suture granuloma.
conclusionIn addition to tumor recurrence, suture granulomas should be considered a differential diagnosis for nodules occurring after surgery, even if they develop in the field of radiation.
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