Can near-infrared imaging distinguish a gelatin-based matrix granuloma from a malignancy in a kidney?
Minimally Invasive Therapy and Allied Technologies, cilt.33, sa.1, ss.58-62, 2024 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 33 Sayı: 1
- Basım Tarihi: 2024
- Doi Numarası: 10.1080/13645706.2023.2272968
- Dergi Adı: Minimally Invasive Therapy and Allied Technologies
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.58-62
- Anahtar Kelimeler: Laparoscopy, partial nephrectomy, gelatin matrix granuloma, near-infrared imaging
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aim: Differentiating granulomas from cancerous tissue poses a significant challenge in upper urinary tract surgery. We present the case of a 62-year-old male with a gelatin-based matrix (SurgifloTM) granuloma in the kidney following renal cyst decortication eight years earlier. Methods: Contrast-enhanced abdominal tomography revealed a Bosniak type-4 cyst at the previous operation site. The patient underwent laparoscopic partial nephrectomy with near-infrared imaging. Results: The lesion presented as hypofluorescent relative to normal kidney tissue. Histopathological examination revealed a foreign body granuloma due to unabsorbed Surgiflo. Conclusion: The fluorescence pattern could not distinguish a Surgiflo granuloma from a malignant lesion of the kidney.