Anyone heard of this: Suture granuloma with foreign body giant cell reaction

Ruffy7
Ruffy7 Member Posts: 126
in Colorectal Cancer #1
Hi, had sugery last June to take out my appendix and most of my cecum. Dx was appendix cancer. Fast forward to April 2012, had laprascopic surgery for a look around and to remove right ovary but the surgeon's report had "posterior cul-de-sac was noted to be studded with multiple small excrescences, all less than 0.5cm, did not appear to be invasive...not noticed anywhere else in pelvis". Pathology gave it the name above and stated it was negative for cytologic atypia or malignancy. That's good. Surgeon told me on follow-up that it was scar tissue from surgery last June. Anyone else had this or heard of it? I'm choosing to trust the drs on this and not to worry about it - just curious.

Comments

  • Ruffy7
    Ruffy7 Member Posts: 126
    #2
    Guess not

    Guess not
  • Lorikat
    Lorikat Member Posts: 681 Member
    #3
    Never heard of it! Would
    Never heard of it! Would sure ask my doc to explain though..... Lorie
  • steved
    steved Member Posts: 834 Member
    #4
    Granuloma
    When you have sutures the body does recognise these as foreign and react with an immune response. Usually this is minor and resolves but can occasionally leave benign (noncancerous) growths that appear as lumps- these are the suture granulomas. They occur as the body tries to wall off what it perceives as being foreign. The giant cells are a type of immune cell. If that is what you have it is not something to be concerned about with regard to it growing or being cancerous (no atypia means cells appear normal and not cancerous).

    NEver had it myself though.

    Hope this is helpful
    steve
  • Ruffy7
    Ruffy7 Member Posts: 126
    #5
    steved said:

    Granuloma
    When you have sutures the body does recognise these as foreign and react with an immune response. Usually this is minor and resolves but can occasionally leave benign (noncancerous) growths that appear as lumps- these are the suture granulomas. They occur as the body tries to wall off what it perceives as being foreign. The giant cells are a type of immune cell. If that is what you have it is not something to be concerned about with regard to it growing or being cancerous (no atypia means cells appear normal and not cancerous).

    NEver had it myself though.

    Hope this is helpful
    steve

    Thanks for responding,
    Thanks for responding, learning so much about the body now then I ever did in school! Of course wasn't personally affected then - thx again.
  • karen40
    karen40 Member Posts: 211 Member
    #6
    Suture Granuloma
    Hi Ruffy7
    I had a suture granuloma in my lower pelvic area located directly under the edge of my incision from a rectal resection. It felt to be 1in. by 3in. in size. Granulomas form when the immune system attempts to wall off a substance, such as sutures, that it perceives as foreign because it is unable to eliminate it. Granulomas usually resolve on there own. My experience was a little different. The edge of my incision reopened ~ 9 weeks after surgery. The surgeon went in to see what he could find. I was for sure he was going to pull out some gauze because of its size. He didn’t find anything and assured me that it wasn’t gauze. The incision closed up and shortly thereafter reopened. I decided to go in and have a look myself. I pulled out several suture fragments over ~ a 2week period with the last being a big ol’ knot. The granuloma shortly disappeared and I haven’t had a problem since.
    Karen

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