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Recurrent late seroma after immediate breast reconstruction with latissimus dorsi musculocutaneous flap

Archives of Plastic Surgery 2020년 47권 3호 p.267 ~ 271
배성환, 이용우, 남수봉, 이소정, Park Hee-Seung, 강태우,
소속 상세정보
배성환 ( Bae Seong-Hwan ) - Pusan National University School of Medicine Department of Plastic and Reconstructive Surgery
이용우 ( Lee Yong-Woo ) - Pusan National University School of Medicine Department of Plastic and Reconstructive Surgery
남수봉 ( Nam Su-Bong ) - Pusan National University School of Medicine Department of Plastic and Reconstructive Surgery
이소정 ( Lee So-Jeong ) - Pusan National University School of Medicine Department of Pathology
 ( Park Hee-Seung ) - Pusan National University Hospital Busan Cancer Center
강태우 ( Kang Tae-Woo ) - Pusan National University Hospital Busan Cancer Center

Abstract


The latissimus dorsi musculocutaneous flap (LDMCF) is widely used for breast reconstruction. However, it has the disadvantage of frequent seroma formation at the donor site, and late seroma has also been reported. The authors report histological findings after the surgical treatment of a late, repeatedly recurrent seroma at 10 years after breast reconstruction with LDMCF. In 2008, a 66-year-old female patient underwent immediate breast reconstruction with LDMCF. In 2015, a late seroma was found at the donor site. After aspiration and drainage, the seroma recurred again in 2018. Total surgical excision of the seroma was performed and bloody-appearing fluid was identified in the capsule. The excised tissue was biopsied. Histological examination revealed no evidence of blood in the fluid, and multinucleated giant cells with amorphous eosinophilic proteinaceous material were identified. The cyst was suggestive of chronic granulomatous inflammation. There was no recurrence at 8 months post-operatively. The patient described herein underwent surgical treatment of late seroma that recurred after immediate breast reconstruction with LDMCF, and histological findings were identified. These results may be helpful for other future studies regarding late seroma after breast reconstruction with LDMCF.

키워드

Mastectomy; Mammaplasty; Surgical flaps; Superficial back muscles; Seroma

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