Cytology of suture granuloma in a recurrent thyroid nodule

Foreign body giant cell (FBGC) reaction leading to suture granuloma is known to occur in response to suture material used during surgery. It occurs most commonly in the gastrointestinal tract (GIT). It is rare to find a suture granuloma in the thyroid. After extensive search of literature and the in...

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Bibliographic Details
Published in:Journal of medical and allied sciences 2014-02, Vol.4 (1), p.40-42
Main Authors: Padmaja, G J Vani, Sireesha, A, Devi, T Sunderi, Nirmala, B Vijaya
Format: Article
Language:English
Subjects:
Abdomen
Cancer
Cellulose
FBGC
FNAC
recurrent thyroid nodule
Surgery
suture granuloma
Wound healing
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Summary:Foreign body giant cell (FBGC) reaction leading to suture granuloma is known to occur in response to suture material used during surgery. It occurs most commonly in the gastrointestinal tract (GIT). It is rare to find a suture granuloma in the thyroid. After extensive search of literature and the internet, it was found that such a lesion has been reported so far on guided aspirates, but not on fine needle aspiration cytology (FNAC) alone. The cytomorphology on FNAC is important to clinch the diagnosis and avoid unnecessary surgery as it can mimic a malignant thyroid nodule, multinodular goiter or a metastatic lymph node. This is the first case report of such a lesion to date. We report a 54 year old male with a recurrent firm thyroid nodule on the right side of the neck, for whom FNAC was done. It was reported as a suture granuloma on cytology. Hence the case was managed conservatively since malignancy was ruled out. [PUBLICATION ABSTRACT]
ISSN:2231-1696
2231-170X