Fosheim Kjersti, Bojesen Sophie, Troestrup Hannah, Laenkholm Anne-Vibeke
Department of Surgical Pathology, Zealand University Hospital, Roskilde, DNK.
Department of Plastic Surgery, Zealand University Hospital, Roskilde, DNK.
Cureus. 2022 Jan 27;14(1):e21677. doi: 10.7759/cureus.21677. eCollection 2022 Jan.
Chronic encapsulated seroma following breast cancer surgery is a rare entity, and management is challenging. We present clinical and pathologic findings in a patient with previous node-negative breast cancer and an extensive history of chronic bilateral seromas, successfully treated with capsulectomy. This is the first report of fibrous encapsulated breast seroma with bilateral presentation and late onset, following mastectomy with no prior axillary dissection. When managing breast seroma refractory to conventional treatment, the diagnosis of encapsulated seroma should be considered, followed by prompt capsulectomy.
乳腺癌手术后的慢性包裹性血清肿是一种罕见的病症，其治疗具有挑战性。我们报告了一名曾患淋巴结阴性乳腺癌且有双侧慢性血清肿广泛病史的患者的临床和病理结果，该患者通过包膜切除术成功治愈。这是首例关于乳房切除术后未进行过腋窝淋巴结清扫、双侧出现且发病较晚的纤维包裹性乳房血清肿的报告。在处理对传统治疗无效的乳房血清肿时，应考虑包裹性血清肿的诊断，随后及时进行包膜切除术。
