Extremity gossypiboma mimicking sarcoma: case report and review

Varun Puvanesarajah, Laura M Fayad, Sandesh S. Rao, Edward F McCarthy, Carol D Morris

Research output: Contribution to journalArticlepeer-review

Abstract

A 70-year-old man with a history of bladder and colon cancer presented with an enlarging mass in his right lower extremity. Forty years before presentation, he had injured his right lower extremity in a motor vehicle accident. Imaging findings indicated suspected sarcoma, which led to biopsy. Biopsy and further surgical exploration revealed the presence of a surgical sponge and surrounding local inflammatory reaction. No neoplasm was found, and the sponge and involved tissues were removed. Gossypiboma is exceedingly rare in the extremities. Imaging of retained foreign material can appear suggestive of sarcoma because of strong inflammatory responses and local tissue mass-like derangement resulting in heterogeneous signal changes. Ultimately, biopsy must be performed to ensure that no oncological pathological condition is present.

Original languageEnglish (US)
JournalSkeletal Radiology
DOIs
StateAccepted/In press - Jan 1 2018

Keywords

  • Biopsy
  • Gossypiboma
  • Lower extremity
  • Retained sponge
  • Sarcoma
  • Soft tissue mass

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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