Soo M S, Kornguth P J, Georgiade G S, Sullivan D C
Department of Radiology, Duke University Medical Center, Durham, NC 27710.
Radiology. 1995 Mar;194(3):863-6. doi: 10.1148/radiology.194.3.7862992.
To evaluate the mammographic and sonographic findings associated with seromas that develop in residual fibrous capsules after explantation of breast prostheses.
Preoperative and postoperative mammograms were reviewed in 86 patients (mean age, 51 years; age range, 24-71 years) who had undergone surgical explantation of breast prostheses. Six seromas were found in four patients 46-68 years of age. Imaging findings were correlated with surgical and laboratory results for three seromas. A presumptive diagnosis was made of the other three lesions.
Mammograms demonstrated all seromas as large, elliptic, water-opacity masses, some with well-circumscribed and some with irregular borders. Sonograms showed thin, compressible masses, two of which were flat and anechoic and one of which was hypoechoic. Three patients' images were initially misinterpreted, leading to excision of two seromas and aspiration of one. Seromas were not identified in patients whose implants were removed by means of complete capsulectomy.
Radiologists must be aware of the imaging findings associated with seromas and of a patient's surgical history to avoid biopsy of benign lesions.
评估乳房假体取出术后残留纤维包膜内形成的血清肿的乳腺X线摄影和超声检查结果。
回顾了86例接受乳房假体手术取出术患者（平均年龄51岁，年龄范围24 - 71岁）的术前和术后乳腺X线照片。在4例46 - 68岁患者中发现6例血清肿。对3例血清肿的影像学表现与手术及实验室结果进行了相关性分析。对另外3个病变作出了初步诊断。
乳腺X线照片显示所有血清肿均为大的椭圆形水样密度肿块，部分边界清晰，部分边界不规则。超声检查显示为薄的、可压缩的肿块，其中2个扁平且无回声，1个低回声。3例患者的影像最初被误诊，导致2例血清肿被切除，1例被抽吸。通过完全包膜切除术取出植入物的患者未发现血清肿。
放射科医生必须了解与血清肿相关的影像学表现以及患者的手术史，以避免对良性病变进行活检。
