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Related Experiment Video

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Mixed Reality Assisted Radical Endoscopic Thyroidectomy
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Silk suture reaction in thyroid surgery.

Selen Soylu1, Akif Enes Arikan1, Serkan Teksoz1

  • 1Department of General Surgery, Cerrahpasa Medical Faculty, Istanbul University, Fatih, Istanbul, Turkey.

Gland Surgery
|November 17, 2017
PubMed
Summary
This summary is machine-generated.

Silk suture reactions are rare complications after thyroid surgery. These chronic inflammatory reactions, diagnosed via fine needle aspiration biopsy, can mimic malignancy but are curable with suture removal.

Keywords:
Foreign body reactionsilkthyroidectomy

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Area of Science:

  • Endocrinology
  • Pathology
  • Surgical Complications

Background:

  • Silk suture reactions, a type of foreign body response, are uncommon after thyroidectomy.
  • These reactions can manifest years after surgery, presenting diagnostic challenges.

Observation:

  • Two female patients (34 and 48 years old) presented with neck swelling and serous leakage 6 years post-thyroidectomy.
  • Physical examination revealed a mobile, painless, red neck swelling. Ultrasound showed heterogeneous nodules with hypoechoic rims; scintigraphy was negative.
  • Fine needle aspiration biopsy (FNAB) was crucial in diagnosing foreign body reaction, ruling out malignancy.

Findings:

  • The study highlights chronic suture reactions occurring up to 6 years post-thyroidectomy.
  • FNAB confirmed a benign granulomatous inflammatory foreign body reaction, distinct from thyroid malignancy.
  • Suture removal effectively resolves these chronic inflammatory conditions.

Implications:

  • Accurate diagnosis of suture reactions is vital to prevent misdiagnosis of recurrent thyroid cancer.
  • Fine needle aspiration biopsy is a key diagnostic tool for post-thyroidectomy neck masses.
  • Surgical removal of the inciting suture provides a definitive cure for this rare complication.