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ECR 2019 / C-0492
Breast implants late collections, ultrasound approach
Congress: ECR 2019
Poster No.: C-0492
Type: Educational Exhibit
Keywords: Breast, Ultrasound, Diagnostic procedure, Puncture, Inflammation, Infection, Epidemiology
Authors: M. F. PIZZOLON, M. Uchida, E. Soto; Santiago de Chile/CL
DOI:10.26044/ecr2019/C-0492

Findings and procedure details

From january 2014 to september 2018, suspected cases of peri-implants collections in women who had undergone breast augmentation or reconstruction  were evaluated, we rewied the ultrasound performed, the results of fine needle aspiration (FNA) or Core biopsies (CB) and also their evolution.

Thirtyfour patients had late peri-implant collections confirmed by ultrasound, thirty one corresponded to plastc surgery and three were reconstructive. The average age of the patients was 43,7 years (25 to 72 years old).

A total of forty-eight ultrasound guided interventions were done, forty-six were FNA, and two CB (4,1%). In ten patients there were double aspirations (20,8%), and in three patients triple. There were no procedure complications.

The average age of these implants were 7 years (from 1 o 17 years old). All cases were unilateral. The drained volume range from 4-450 cc.

The ultrasound appearance was fluid in thrty-two cases (59% anechoic, 41% turbid), there were two cases of solid masses, vascularized in color Doppler.

The histology and citology results were negative to neoplastic cells in all cases, mostly non-specific inflammatory changes, one hematoma, two cases of infection (Staphilococcus Epidermidis in aesthetic surgery case and Pseudomona Aeruginosa in a patient using breast expansor), two capsulitis, the histologic studies corresponded to granulomatous unspecific reaction and pseudocapsula with inflammatory changes.

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