Pulse granuloma: a rare condition mimicking a gastric tumor

Fabro, Maurício; Fabro, Sara Raquel Madalosso; Sales, Rafael; Júnior, Luiz Pedro de Souza; Catalan, Julian

doi:10.1590/0100-3984.2015.0058

Cited by 3 publications

(5 citation statements)

References 6 publications

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“…The majority of pulse granulomas occur in the oral cavity mandible. 1,2,4,5 However, they have also been more recently described in nasal cavity, 6 prostate, 7 cervix, 8 fallopian tube and ovary, 9 gallbladder, 9 skin, 9 lymph node, 8 gastrointestinal tract (colorectum, small intestine, appendix, and stomach), 3,10-12 and urinary bladder. 13…”

Section: Discussionmentioning

confidence: 99%

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A Peculiar Form of Breast Fat Necrosis Simulating Hyaline Ring Granuloma (So-called Pulse Granuloma): A Rare Complication of Hyperparathyroidism

García-Martos

Panizo-Santos

2017

Int J Surg Pathol

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Pulse granuloma is a rare, foreign body inflammatory reaction that occurs mainly in the oral cavity. It is exceedingly rare elsewhere, with only isolated cases described in the literature. We report the case of a 79-year-old woman with a history of normocalcemic hyperparathyroidism who presented to our hospital with a painful 4-cm lump in the upper quadrants-upper outer quadrant of her left breast. The clinical and radiological (BIRADS-5) findings were indicative of a malignant lesion. However, core needle biopsy revealed features simulating hyaline ring granuloma (pulse granuloma-like). A definitive diagnosis of lipomembranous fat necrosis was made by identifying its characteristic histomorphology. Histopathological study is essential to establish an exact diagnosis since clinical and imaging features may mimic breast carcinoma. To our knowledge, this is the first reported case of a hyaline ring granuloma-like in the breast, which may represent a peculiar form of degenerative change of lipomembranous fat necrosis.

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Section: Discussionmentioning

confidence: 99%

“…Hyaline ring granulomas are important to recognize because clinical and radiologically they may simulate malignant tumors. 10,13 Morphologically, the differential diagnosis of this case included benign and malignant breast lesions, which were all excluded by biopsy and histologic examination.…”

Section: Discussionmentioning

confidence: 99%

A Peculiar Form of Breast Fat Necrosis Simulating Hyaline Ring Granuloma (So-called Pulse Granuloma): A Rare Complication of Hyperparathyroidism

García-Martos

Panizo-Santos

2017

Int J Surg Pathol

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“…Since it was first described in the lung in 1969 by Knoblich 2 , pulse granuloma has been reported in the oral and nasal cavity, skin, knee, fallopian tube and ovary, and intrahepatic portal vein 1 3 . It can also occur in the stomach, small intestine, colorectum, peritoneum, and mesentery 1 4 5 . A pulse granuloma is characterized by a chronic granulomatous reaction to a foreign body of vegetable origin 4 .…”

Section: Figmentioning

confidence: 99%

“…It can also occur in the stomach, small intestine, colorectum, peritoneum, and mesentery 1 4 5 . A pulse granuloma is characterized by a chronic granulomatous reaction to a foreign body of vegetable origin 4 . In the present case, the mucosal damage seen above the lesion may have been the path by which the foreign bodies penetrated into the submucosal layer.…”

Section: Figmentioning

confidence: 99%

Rectal pulse granuloma: a rare condition presenting as a subepithelial lesion

Yuan,

Lin,

et al. 2024

Endoscopy

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“…Tumors and pseudotumors of the upper abdomen have been the subject of recent studies in the radiology literature of Brazil ( 1 - 7 ) . Ectopic pancreas is a rare condition that is most common in males between the fourth and sixth decades of life.…”

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confidence: 99%