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Cytologic findings following intraoperative use of Floseal R hemostatic matrix: A potential diagnostic pitfall in fluid aspiration cytology
Author(s) -
Barroeta Julieta E.,
Lhospital Elliott,
Smith Eugene,
Ko Emily M.
Publication year - 2016
Publication title -
diagnostic cytopathology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.417
H-Index - 65
eISSN - 1097-0339
pISSN - 8755-1039
DOI - 10.1002/dc.23566
Subject(s) - medicine , cytology , dissection (medical) , hysterectomy , lymphadenectomy , lymph node , radiology , surgery , pathology
We report the case of a 62‐year‐old woman who underwent laparoscopic hysterectomy, bilateral salpingo‐oophorectomy, and lymph node dissection for endometrial endometrioid carcinoma FIGO grade 1. Cytologic examination of the pelvic washing specimen showed an acellular matrix with frayed edges and cracking artifact. Upon investigation, it became apparent that this could represent hemostatic matrix Floseal R that had been used intraoperatively at the lymphadenectomy site. Laboratory replication of the cytologic findings with a Floseal R sample confirmed it. This is the first reported case of Floseal R in pelvic washing cytology and represents a potential diagnostic pitfall. Diagn. Cytopathol. 2016;44:1117–1119. © 2016 Wiley Periodicals, Inc.