Cytologic findings following intraoperative use of FlosealR hemostatic matrix: A potential diagnostic pitfall in fluid aspiration cytology. Issue 12 (18th August 2016)

• Record Type: Journal Article
• Authors: Barroeta, Julieta E.; Lhospital, Elliott; Smith, Eugene; Ko, Emily M.
• Is Part Of: Diagnostic cytopathology. Volume 44:Issue 12(2016)
• Page Start: 1117
• Page End: 1119
• Publication Date: 2016-08-18
• Subjects: FlosealR -- fluid aspiration cytology -- cytologic features -- diagnostic pitfall; Cytodiagnosis -- Periodicals; Pathology, Cellular -- Periodicals; Cytology -- Periodicals; 616.07582
• DOI: 10.1002/dc.23566
• Languages: English
• ISSNs: 8755-1039

Abstract

Abstract : 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.