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Case Report: Breast Seroma Mimicking Breast Implants.
Amalie Sylvester-Hvid1, Magnus B Avnstorp1, Lene Wagenblast1
1Department of Plastic and Breast Surgery, Zealand University Hospital, Sygehusvej 10, DK-4000 Roskilde, Denmark.
International Journal of Surgery Case Reports
|September 25, 2017
Summary
Late breast seroma can mimic breast implants and requires malignancy exclusion. This case highlights the importance of combining clinical findings with imaging to rule out serious conditions like Anaplastic Large Cell Lymphoma (ALCL).
Area of Science:
- Plastic Surgery
- Oncology
- Radiology
Background:
- Breast seroma is fluid accumulation that can arise from various factors, including lymphatic disruption, inflammation, or foreign bodies like breast implants.
- Breast implant-associated seroma necessitates investigation for Anaplastic Large Cell Lymphoma (ALCL).
Purpose of the Study:
- To present a case of late-onset breast seroma mimicking breast implants.
- To emphasize the importance of integrating clinical findings with radiological assessments in diagnosing late seroma.
- To exclude breast implant-associated Anaplastic Large Cell Lymphoma (ALCL).
Main Methods:
- A 45-year-old female patient presented with bilateral breast swelling and pain.
- Magnetic Resonance Imaging (MRI) suggested bilateral silicone implants; ultrasound-guided aspiration showed no malignancy.
- Capsulectomy was performed on the right breast, with histological examination of fluid and tissue.
Main Results:
- The patient had a history of soy and silicone implants, with prior removal due to capsular contracture.
- Histology confirmed benign findings, ruling out malignancy and Anaplastic Large Cell Lymphoma (ALCL).
- The seroma was successfully treated via capsulectomy, resolving the patient's symptoms.
Conclusions:
- Late-onset breast seroma can present atypically, mimicking breast implants.
- Diagnostic conclusions should integrate clinical presentation and patient history alongside imaging.
- Radiological findings alone may be insufficient for definitive diagnosis in complex seroma cases.
