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乳腺癌重建手术中与放疗相关的乳房植入物的副作用。

Side effects in breast implants related to radiotherapy in breast cancer reconstructive surgery.

作者信息

de Faria Castro Fleury Eduardo, Jasmin Huanca Bernal Karol, Lucena Miranda Madeiro Aline, Luis Cervera Ocana Wilton, Carlos Vendramini Fleury Jose, Caobianco Leontina

机构信息

Centro Universitário São Camilo, Medicina, São Paulo, Brazil.

Instituto Brasileiro de Controle do Câncer - IBCC, Brazil.

出版信息

Tech Innov Patient Support Radiat Oncol. 2021 Mar 18;18:8-11. doi: 10.1016/j.tipsro.2021.03.001. eCollection 2021 Jun.

DOI:10.1016/j.tipsro.2021.03.001
PMID:33778175
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7985562/
Abstract

Breast reconstructive surgery with silicone implants is routinely one of the techniques performed immediately after a mastectomy and before adjuvant radiotherapy. Implant shell degradation may result in gel bleeding that can trigger capsular disease. The silicone corpuscle in contact with the implant fibrous capsule can promote an inflammatory reaction, identified as silicone-induced granuloma which is, related to clinical complaints referred to as breast implant illness. This short communication aims to demonstrate and discuss the impact of radiotherapy's side effects on patients with post-mastectomy reconstructive breast surgery with silicone implants followed by adjuvant radiation therapy.

摘要

使用硅胶植入物的乳房重建手术通常是在乳房切除术后立即进行且在辅助放疗之前所采用的技术之一。植入物外壳降解可能导致凝胶渗漏,进而引发包膜疾病。与植入物纤维包膜接触的硅胶微粒可引发炎症反应,表现为硅胶诱导的肉芽肿,这与被称为乳房植入物疾病的临床症状相关。本简短通讯旨在展示和讨论放疗副作用对接受硅胶植入物乳房切除术后重建手术并随后进行辅助放疗的患者的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ace/7985562/d0e422ca0e43/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ace/7985562/5df82792b99f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ace/7985562/d0e422ca0e43/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ace/7985562/5df82792b99f/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8ace/7985562/d0e422ca0e43/gr2.jpg

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PLoS One. 2020 Jun 26;15(6):e0235050. doi: 10.1371/journal.pone.0235050. eCollection 2020.
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Impact of post mastectomy radiotherapy on the silicone breast implant.乳房切除术后放疗对硅胶乳房植入物的影响。
Mater Sci Eng C Mater Biol Appl. 2019 May;98:288-292. doi: 10.1016/j.msec.2018.12.047. Epub 2018 Dec 16.
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Silicone-Induced Granuloma of Breast Implant Capsule (SIGBIC): Histopathology and Radiological Correlation.
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In Vivo. 2024 May-Jun;38(3):1412-1420. doi: 10.21873/invivo.13583.
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Extreme Oncoplastic Breast Surgery: A case series of three patients from a lower-middle income country.极端肿瘤整形乳房手术:来自一个中低收入国家的三例病例系列
Ann Med Surg (Lond). 2022 Nov 17;84:104899. doi: 10.1016/j.amsu.2022.104899. eCollection 2022 Dec.
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Efficacy of digital breast tomosynthesis combined with magnetic resonance imaging in the diagnosis of early breast cancer.数字乳腺断层合成联合磁共振成像在早期乳腺癌诊断中的效能
World J Clin Cases. 2022 Oct 6;10(28):10042-10052. doi: 10.12998/wjcc.v10.i28.10042.
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Adv Radiat Oncol. 2022 Feb 5;7(3):100912. doi: 10.1016/j.adro.2022.100912. eCollection 2022 May-Jun.
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