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Case Report: Breast Seroma Mimicking Breast Implants
Introduction Breast seroma may be caused by a variety of factors including lymphatic disruption, continuous inflammation and foreign bodies such as breast implants. In cases of breast implants associated seroma the diagnosis of Anaplastic Large Cell Lymphoma (ALCL) should be investigated. Presentati...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5612787/ https://www.ncbi.nlm.nih.gov/pubmed/28942227 http://dx.doi.org/10.1016/j.ijscr.2017.08.061 |
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author | Sylvester-Hvid, Amalie Avnstorp, Magnus B. Wagenblast, Lene Lock-Andersen, Jørgen Matzen, Steen H. |
author_facet | Sylvester-Hvid, Amalie Avnstorp, Magnus B. Wagenblast, Lene Lock-Andersen, Jørgen Matzen, Steen H. |
author_sort | Sylvester-Hvid, Amalie |
collection | PubMed |
description | Introduction Breast seroma may be caused by a variety of factors including lymphatic disruption, continuous inflammation and foreign bodies such as breast implants. In cases of breast implants associated seroma the diagnosis of Anaplastic Large Cell Lymphoma (ALCL) should be investigated. Presentation of Case A 45-year-old Caucasian woman was referred with bilateral swelling of the breasts causing tension and pain. MRI showed accumulations compatible with bilateral silicone implants. Ultrasound-guided aspiration showed no malignancy or silicone. The patient had a history of both soy- and silicone implants. Three years prior her breast implants was removed due to capsule formation. To treat the pain and rule out potential malignancy we performed capsulectomy of only the right breast, on the wish of the patient. We found brown fluid, no breast implants and histology of fluid and tissue showed no malignancy. DISCUSSION: Breast seroma usually develops weeks after surgery such as mastectomy or axillary lymph node dissection. This patient developed a seroma through months and years after her last surgery. In cases of late seroma malignancy should be ruled out. Diagnostic statements should not solely be based on radiology, but in conjunction with clinical findings. CONCLUSION: We performed capsulectomy on a patient with breast seroma mimicking breast implants. We excluded the diagnosis of breast implant-associated ALCL. Radiology has limitations and should be considered in conjunction with the patient’s statement and the clinical findings. |
format | Online Article Text |
id | pubmed-5612787 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-56127872017-10-02 Case Report: Breast Seroma Mimicking Breast Implants Sylvester-Hvid, Amalie Avnstorp, Magnus B. Wagenblast, Lene Lock-Andersen, Jørgen Matzen, Steen H. Int J Surg Case Rep Case Report Introduction Breast seroma may be caused by a variety of factors including lymphatic disruption, continuous inflammation and foreign bodies such as breast implants. In cases of breast implants associated seroma the diagnosis of Anaplastic Large Cell Lymphoma (ALCL) should be investigated. Presentation of Case A 45-year-old Caucasian woman was referred with bilateral swelling of the breasts causing tension and pain. MRI showed accumulations compatible with bilateral silicone implants. Ultrasound-guided aspiration showed no malignancy or silicone. The patient had a history of both soy- and silicone implants. Three years prior her breast implants was removed due to capsule formation. To treat the pain and rule out potential malignancy we performed capsulectomy of only the right breast, on the wish of the patient. We found brown fluid, no breast implants and histology of fluid and tissue showed no malignancy. DISCUSSION: Breast seroma usually develops weeks after surgery such as mastectomy or axillary lymph node dissection. This patient developed a seroma through months and years after her last surgery. In cases of late seroma malignancy should be ruled out. Diagnostic statements should not solely be based on radiology, but in conjunction with clinical findings. CONCLUSION: We performed capsulectomy on a patient with breast seroma mimicking breast implants. We excluded the diagnosis of breast implant-associated ALCL. Radiology has limitations and should be considered in conjunction with the patient’s statement and the clinical findings. Elsevier 2017-09-04 /pmc/articles/PMC5612787/ /pubmed/28942227 http://dx.doi.org/10.1016/j.ijscr.2017.08.061 Text en © 2017 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Sylvester-Hvid, Amalie Avnstorp, Magnus B. Wagenblast, Lene Lock-Andersen, Jørgen Matzen, Steen H. Case Report: Breast Seroma Mimicking Breast Implants |
title | Case Report: Breast Seroma Mimicking Breast Implants |
title_full | Case Report: Breast Seroma Mimicking Breast Implants |
title_fullStr | Case Report: Breast Seroma Mimicking Breast Implants |
title_full_unstemmed | Case Report: Breast Seroma Mimicking Breast Implants |
title_short | Case Report: Breast Seroma Mimicking Breast Implants |
title_sort | case report: breast seroma mimicking breast implants |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5612787/ https://www.ncbi.nlm.nih.gov/pubmed/28942227 http://dx.doi.org/10.1016/j.ijscr.2017.08.061 |
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