A Malignant Late Seroma 20 Years after Breast Cancer and Saline Implants

Roubaud, Margaret Jane; Kulber, David A.

doi:10.1097/prs.0b013e3182827913

Plastic and Reconstructive Surgery

2013

DOI: 10.1097/prs.0b013e3182827913

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A Malignant Late Seroma 20 Years after Breast Cancer and Saline Implants

Margaret Jane Roubaud

David A. Kulber

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Cited by 2 publications

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“…Such reduced complications include a decreasing incidence of breast hematomas, seromas, fat necrosis, wound contracture, and unsightly wounds; however, pain control and management following breast surgery is still a concern. 2–4…”

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confidence: 99%

“…Such reduced complications include a decreasing incidence of breast hematomas, seromas, fat necrosis, wound contracture, and unsightly wounds; however, pain control Plastic and Reconstructive Surgery • January 2024 2e and management following breast surgery is still a concern. [2][3][4] More recently, Blanco developed use of the pectoral nerve block (PECS block). 5 Under ultrasound guidance, the PECS block lies within the interpectoral plane targeting the median and lateral pectoral nerves supplying pectoralis major and minor.…”

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confidence: 99%

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Assessing the efficacy of the S-PECS block in breast augmentation surgery – a randomised double-blind control trial

Sforza

Saghir

et al. 2023

Plastic &Amp; Reconstructive Surgery

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Background: Postoperative acute and chronic pain following breast surgery is a common complication that needs resolving to allow for improved patient outcomes. Previously, thoracic epidurals and paravertebral blocks have been the accepted standard administered intraoperatively. However, more recently the introduction of the pectoral nerve block (PECS and PECS-2 blocks) has appeared promising to control the pain more effectively, but further robust analysis is required to prove its efficacy. The authors aim to study the efficacy of a new block, S-PECS, that combines a serratus anterior and a PECS-2 block. Methods: In this study, the authors performed a single-center, randomized, controlled, double-blind group trial in 30 female patients undergoing breast augmentation surgery with silicone breast implants and the S-PECS block. Divided into two groups of 15, the PECS group received local anesthetics and the no-PECS control group received a saline injection. All participants were followed up at recovery and at 4, 6, and 12 hours postoperatively. Results: The authors’ results showed that the pain score in the PECS group was significantly less than in the no-PECS group across all time points: recovery, and at 4, 6, and 12 hours. Furthermore, the patients who received the S-PEC block were 74% less likely to request pain medications compared with the no-PECS group (P < 0.05). Conclusion: Overall, the modified S-PECS block is an effective, efficient, and safe method of controlling pain in patients undergoing breast augmentation surgery, with additional applications yet to be explored.

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mentioning

confidence: 99%

mentioning

confidence: 99%

Assessing the efficacy of the S-PECS block in breast augmentation surgery – a randomised double-blind control trial

Sforza

Saghir

et al. 2023

Plastic &Amp; Reconstructive Surgery

View full text Add to dashboard Cite

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Breast implant-associated anaplastic large cell lymphoma: a review

Quesada¹,

Medeiros²,

Clemens³

et al. 2019

Modern Pathology

112

149

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Breast implant-associated anaplastic large cell lymphoma is a newly recognized provisional entity in the 2017 revision of the World Health Organization Classification of Tumors of Hematopoietic and Lymphoid Tissues. It is an uncommon, slow growing T-cell lymphoma with morphology and immunophenotype similar to anaplastic lymphoma kinase-negative anaplastic large cell lymphoma. However, the presentation and treatment are unique. Breast implant-associated anaplastic large cell lymphoma often presents as a unilateral effusion confined to the capsule of a textured-surface breast implant, a median time of 9 years after the initial implants have been placed. Although it follows an indolent clinical course, breast implant-associated anaplastic large cell lymphoma has the potential to form a mass, to invade locally through the capsule into breast parenchyma or soft tissue and/or to spread to regional lymph nodes. In most cases, an explantation with a complete capsulectomy removing all disease, without chemotherapy is considered to be curative and confers an excellent event free and overall survival. Here we provide a comprehensive review of breast implant-associated anaplastic large cell lymphoma, including history, epidemiology, clinical features, imaging and pathology findings, pathologic handling, pathogenic mechanisms, model for progression, therapy and outcomes as well as an analysis of causality between breast implants and anaplastic large cell lymphoma.

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A Malignant Late Seroma 20 Years after Breast Cancer and Saline Implants

Cited by 2 publications

References 4 publications

Assessing the efficacy of the S-PECS block in breast augmentation surgery – a randomised double-blind control trial

Assessing the efficacy of the S-PECS block in breast augmentation surgery – a randomised double-blind control trial

Breast implant-associated anaplastic large cell lymphoma: a review

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