Learning objectives
Characterize the imaging features of peri-implant collections,
enummerate thir causes,
time of onset and evolution.
Background
Breast augmentation using silicone implants is the most common cosmetic and reconstructive surgical procedure.
Reported prevalence of breast implants complications are around 20%.
They are clasified by time of onset in acute and chronic,
if they appear after a year from the date of surgery.
Late complications include mainly capsular contracture and implant failure; late seromas,
spontaneous hematoma and implant-associated anaplastic large cell lymphoma,
are also described,
but are very rare.
Findings and procedure details
From january 2014 to september 2018,
suspected cases of peri-implants collections in women who had undergone breast augmentation or reconstruction were evaluated,
we rewied theultrasound performed,
the results of fine needle aspiration (FNA) or Core biopsies (CB)and also their evolution.
Thirtyfour patients had late peri-implant collections confirmed by ultrasound,
thirty one corresponded to plastc surgery and three were reconstructive.
The average age of the patients was 43,7 years (25 to 72 years old).
A total of forty-eight ultrasound guided interventions were done,
forty-six were FNA,...
Conclusion
Althoug peri-implant late complications are unfrequent,
breast radiologists should be able to recognize their imagenologic appearance,
differential diagnosis,
possible causes and minimal invasive procedures,
with diagnostic approaches.
Personal information
Contact details:
Dra.
Flavia Pizzolon
Breast Imaging Service,
Department of Radiology,
Clínica Alemana.
Av.
Manquehue Norte 1499,
Vitacura,
Santiago,
Chile.
Email:
[email protected]
Dra.
Marcela Uchida
Breast Imaging Service,
Department or Radiology,
Clínica Alemana.
Av.
Manquehue Norte 1499,
Vitacura,
Santiago,
Chile
Email:
[email protected]
References
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Talita Franco.
Digo Franco.
Late seroma after silicone breast implants:three diffrent forms of presentation,
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Bradley Bengtson,
Garry S.
Brody,
Mitchell H.
Brown,
et al.
Managing late periprosthetic fluid collections (seroma) in patients with breast implants: A consensus panel recommendation and review of literature.
Plastic and reconstructive surgery.
July 2011.
Doi:10.1097/PRS.0b013e318217fdb0.
3.
Bengtson BP: Complications,
reoperations,
and revisions in breast augmentation.
Clin Plast Surg 2009 36:139-156.
4.
Rebecca Roller,
Alison Chetlen,
Claudia Kasales.
Imaging of breast implants...