ABSTRACT
Despite precautions, cotton and gauze pads used for dissection or to achieve haemostasis during neurosurgical procedures can inadvertently be left behind and result in clinically symptomatic or asymptomatic and radiologically apparent mass lesion, sometimes referred to as "textilomas" or "gossypibomas", often mimicking recurrent tumour or abscess on neuroimaging studies. We report the neuroimaging evaluation, including computed tomography (CT), magnetic resonance imaging (MRI) and spectroscopy (H1-MRS), in a case of textiloma developing after the treatment of a third ventricle colloid cyst.
Subject(s)
Brain Neoplasms/surgery , Central Nervous System Cysts/surgery , Granuloma, Foreign-Body/diagnosis , Granuloma, Foreign-Body/etiology , Hemostasis, Surgical/adverse effects , Third Ventricle , Cotton Fiber , Female , Granuloma, Foreign-Body/surgery , Humans , Middle Aged , Surgical Sponges/adverse effectsABSTRACT
PURPOSE: Although some embryologic data suggest that the neural crest elements, which are not a target tissue for estrogen and progesterone, participate in the forming of meningothelial cells, meningiomas show hormone receptors. The aim of this study was to investigate the estrogen (ER) and progesterone receptors (PR) content of benign meningiomas (WHO grade I) which were completely resected. MATERIALS AND METHODS: Paraffin-embedded tissue sections of 30 intracranial meningiomas were examined immunohistochemically using monoclonal antibodies for ER and PR. RESULTS: All 30 (100%) tumor samples were ER-negative. Seventeen (57%) of them were positive for PR. These receptors were found in 8 of 17 (47.50%) tumors in female patients and in 9 of 13 (69.23%) tumors in male patients (Mann-Whitney p <0.05). Age, localization of tumors and histological subtype did not correlate with PR status. CONCLUSION: This study demonstrated complete absence of ER in benign meningiomas. In contrast, PR were positive in more than half of the patients. PR positivity was significantly higher in male patients.
