Polypropylene material is widely used in gynecological surgery. There are few reports regarding its carcinogenic potential. There is lack of evidence supporting tumor formation directly attributed to the use of polypropylene material.
This patient is a 49-year-old woman with a history of stress urinary incontinence which required a MiniArc® Sling who presented with a hard, tender, immobile mass on the anterior vaginal wall. Pathological analysis of the mass revealed a tumor-like reaction to the polypropylene material that resembled a giant cell tumor of soft tissue.
The use of polypropylene in surgery is ubiquitous across disciplines; thus consideration for a tumor-like reaction to the material should exist for patients who present with a mass near the surgical site.
Case reports in obstetrics and gynecology. 2017 Dec 18 [Epub]
Ali Azadi, James A Bradley, Dennis M O'Connor, Amir Azadi, Donald R Ostergard
Norton Urogynecology Center, Norton Healthcare, 4001 Dutchmans Lane, Louisville, KY 40207, USA., University of Louisville School of Medicine, Louisville, KY 40202, USA., Clinical Pathology Associates, Norton Healthcare, 4001 Dutchmans Lane, Louisville, KY 40207, USA., UCLA School of Medicine, Los Angeles, CA, USA.