Question:

Which of the followings are possible clinical manifestations of gossypibomas?
1. Aseptic granulomatosis
2. Sterile abscess
3. Infected abscess
4. Malignant transformation
5. Fistula formation





Answer:

The correct answers for the question "Which of the followings are possible clinical manifestations of gossypibomas?" are:

1. Aseptic granulomatosis

2. Sterile abscess

3. Infected abscess

5. Fistula formation



Explanation
a)    Gossypibomas can present as aseptic granulomatosis. [Clinical manifestations depend on the type of reaction induced by the foreign material in the body and are very variable.  Aseptic fibrinous reaction leads to the formation of clinically occult aseptic granulomatosis], whereas, exudative reaction leads to the formation of abscess either sterile or infected and fistula formation

b)    Gossypibomas can present as sterile abscess. [exudative reaction leads to the formation of abscess either sterile or infected]

c)    Gossypibomas can present as infected abscess. [exudative reaction leads to the formation of abscess either sterile or infected]

d)    Gossypibomas are not true neoplasm and they do not show malign transformation. [It can mimic true neoplasm, abscess or hematoma and may cause diagnostic difficulty]

e)    Gossypibomas can present with fistula. [exudative reaction leads to the formation of abscess either sterile or infected and fistula formation.]



From the manuscript:
Gossypiboma of the Breast: Imaging Findings
Radiology Case. 2010 Oct; 4(10):21-25


This article belongs to the Mamms section.




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From the manuscript

Gossypiboma of the Breast: Imaging Findings

Free full text article: Gossypiboma of the Breast: Imaging Findings

Abstract
We report a case of retained surgical sponge in the breast with its sonographic and magnetic resonance (MR) imaging findings. Striped and spotted low signal intensity structures seen within the lesion on T2 weighted MR imaging was characteristic. Sonographic examination also was helpful with the appearance of strong posterior acoustic shadowing at the lesion. It is extremely rare, to see a gossypiboma in the breast. A high degree of suspicion and imaging findings are very important for the diagnosis.






References



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