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Related Experiment Videos

Delayed breast cellulitis following breast conserving operation.

D Zippel1, N Siegelmann-Danieli, S Ayalon

  • 1Department of Surgical Oncology, Chaim Sheba Medical Center, Israel.

European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology
|April 25, 2003
PubMed
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Delayed cellulitis is a newly identified complication following breast conserving surgery. This condition presents with pain, redness, and swelling, and does not respond to antibiotics.

Area of Science:

  • Oncology
  • Surgical Complications
  • Dermatology

Background:

  • Breast conservation surgery is a common oncological treatment.
  • Delayed cellulitis is an emerging complication post-breast conserving surgery.
  • Distinguishing delayed cellulitis from infection or inflammatory carcinoma is crucial.

Purpose of the Study:

  • To describe the clinical characteristics of delayed cellulitis after breast conserving surgery.
  • To differentiate delayed cellulitis from other post-operative breast conditions.
  • To report on the diagnostic and management challenges of this complication.

Main Methods:

  • Retrospective case series of 16 patients diagnosed with delayed cellulitis.
  • Evaluation of diagnostic criteria including pain, erythema, and edema.

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  • Assessment of treatment response, including observation and antibiotic therapy.

    • Main Results:

    • Symptoms appeared up to 10 months post-surgery, with resolution taking an average of 7.5 months.
    • Cytology and bacteriology tests were negative in all patients.
    • Antibiotic therapy showed no immediate effect in the three patients treated.

    Conclusions:

    • Delayed cellulitis is a distinct post-surgical complication of breast conservation.
    • Impaired lymphatic circulation may underlie this condition.
    • It presents a diagnostic and management dilemma, necessitating differentiation from infection and malignancy.