背景:与乳房植入物相关的并发症对改善基于植入物的乳房重建患者的生活质量构成了重大障碍。由于他们演讲的复杂性,诊断往往变得具有挑战性和困惑。在这里,我们提供了一个病例报告,详细介绍了1例多发性恶性肿瘤患者在乳房切除术后立即行乳房再造的植入相关并发症的诊断和治疗过程.
■病人,一个48岁的女人,她的左乳房出现剧烈疼痛和硬化。3年前,她曾接受过保留乳头的乳房切除术,然后立即进行基于植入物的乳房重建。
方法:入院时,我们怀疑是包膜挛缩的简单诊断。然而,经调查,她有结肠癌病史,乳腺癌,和急性B淋巴细胞白血病.此外,她最近经历了乳头出血。
方法:考虑到她的临床表现,我们推测肿瘤复发的可能性,同时可能存在乳房植入物相关的间变性大细胞淋巴瘤.情况有了新的转变,作为诊断成像技术,包括乳腺MRI,超声显示潜在的假体破裂和假体周围感染的迹象。
结果:最终,进行了整囊切除术和植入物移除,未发现植入物破裂或感染的证据,但表明血肿形成延迟。
结论:准确诊断与乳房假体重建相关的并发症对于有效治疗至关重要。在这种情况下采用的检查和治疗过程为实现更精确的假体相关并发症的诊断提供了有价值的见解。特别是有复杂病史的患者。
BACKGROUND: Complications associated with breast implants pose a significant obstacle to improving the quality of life for patients undergoing implant-based breast reconstruction. Due to the intricate nature of their presentation, diagnosis often becomes challenging and perplexing. Herein, we present a case report detailing the diagnostic and therapeutic processes employed in managing implant-related complications in a patient with multiple malignancies who underwent immediate breast reconstruction following mastectomy.
UNASSIGNED: The patient, a 48-year-old woman, presented with severe pain and hardening in her left breast. She had previously undergone nipple-sparing mastectomy followed by immediate implant-based breast reconstruction 3 years ago.
METHODS: Upon admission, we suspected a simple diagnosis of capsular contracture. However, upon investigation, she had a medical history of colon cancer, breast cancer, and acute B-lymphoblastic leukemia. Furthermore, she recently experienced nipple hemorrhage.
METHODS: Considering her clinical manifestations, we postulated the possibility of tumor recurrence along with potential presence of breast implant-associated anaplastic large cell lymphoma. The situation took a new turn, as diagnostic imaging techniques including breast MRI, and ultrasound revealed indications of potential prosthesis rupture and periprosthetic infection.
RESULTS: Ultimately, en bloc capsulectomy with implant removal was performed, revealing no evidence of implant rupture or infection but rather indicating delayed hematoma formation.
CONCLUSIONS: An accurate diagnosis of complications associated with breast prosthesis reconstruction is crucial for effective treatment. The examination and treatment processes employed in this case offer valuable insights toward achieving a more precise diagnosis of prosthesis-related complications, particularly in patients with complex medical histories.