Haluk ULUCANLAR, Aybala AĞAÇ, SUAT KUTUN, ABDULLAH DEMİR, Ardış Füsun YÜRKÜK, Abdullah ÇETİN

Fibröz kapsülle çevrili ve cerrahi rezeksiyon gerektiren seroma olgusu: Olgu sunumu

Seroma formasyonu meme kanseri sebebiyle modifiye radikal mestektomi uygulanan hastalarda en sık görülen komplikasyondur. Ameliyat sonrası seroma oluşma sıklığı modifiye radikal mastektomilerde %53'lere kadar çıkmaktadır. Meme kanseri sebebiyle modifiye radikal mastektomi uygulanmasını takiben oluşmuş fibröz kapsülle çevrili seroma olgusu sunmaktayız. Seroma uygulanan tüm konvansiyonel tedavilere dirençli idi ve cerrahi rezeksiyon gerektirdi Modifiye radikal mastektomi sonrası seroma oluşumu son derece sık bir komplikasyon olmakla beraber fibröz kapsülle çevrili seroma oluşumu oldukça nadir bir durumdur. Hasta konforunu azaltması ve ciddi morbidite kaynağı olması bakımından göz önüne alındığında seroma oluşumunun erken teşhisi ve uygun tedavi planlamasının son derece önemli olduğu görüşündeyiz.

Anahtar Kelimeler:

Mastektomi, Orta yaşlı, Seroma, Meme neoplazmları, Mammografi, Kadın

Seroma with fibrous capsule required surgical resection

Seroma formation is the most common complication of a modified radical mastectomy for breast cancer. Postoperative wound seromas ocur in up to 53% of all patients undergoing mastectomies. We present a case who developed a seroma with a fibrous capsule after a modified radical mastectomy for breast cancer. The seroma was refractory to all conventional treatments,and required surgical resection. Altough seroma formation is the most frequent complication corelated with mastectomy and axillary dissection, seroma with fibrous capsule formation requiring surgical resection is a really rare antity. To our knowledge this is the second report of such a case. When lack of patient's life quality and serious morbidity of the complication considered, it seems to be important to diagnose early and perform maximum effort to prevent such complication with associate various methods.

Keywords:

Mastectomy, Middle Aged, Seroma, Breast Neoplasms, Mammography, Female,

PDF

___

1) Matsui Y, Yanagida H, Yoshida H, Imamura A, Kamiyama Y, Kodama H. Seroma with fibrous capsule formation requiring a surgical resection after a modified radical mastectomy: report of a case. Surg Today 1998;28:669-72.
2) Hashemi E, Kaviani A, Najafi M, Ebrahimi M, Hooshmand H, Montazeri A. Seroma formation after surgery for breast cancer. World J Surg Oncol 2004;2:44.
3) Agrawal A, Ayantunde AA, Cheung KL. Concepts of seroma formation and prevention in breast cancer surgery. ANZ J Surg 2006;76:1088-95.
4) Kuroi K, Shimozuma K, Taguchi T, Imai H, Yamashiro H, Ohsumi S, et al. Evidence-based risk factors for seroma formation in breast surgery. Jpn J Clin Oncol 2006;36:197-206.
5) Kuroi K, Shimozuma K, Taguchi T, Imai H, Yamashiro H, Ohsumi S, et al. Pathophysiology of seroma in breast cancer. Breast Cancer 2005;12:288-93.
6) Bonnema J, Ligtenstein DA, Wiggers T, van Geel AN. The composition of serous fluid after axillary dissection. Eur J Surg 1999;165:9-13.
7) Pogson CJ, Adwani A, Ebbs SR. Seroma following breast cancer surgery. Eur J Surg Oncol 2003;29:711-7.
8) Porter KA, O'Connor S, Rimm E, Lopez M. Electrocautery as a factor in seroma formation following mastectomy. Am J Surg 1998;176:8-11.
9) Kuroi K, Shimozuma K, Taguchi T, Imai H, Yamashiro H, Ohsumi S, et al. Effect of mechanical closure of dead space on seroma formation after breast surgery. Breast Cancer 2006;13:260-5.
10) Liu CD, McFadden DW. Overnight closed suction drainage after axillary lymphadenectomy for breast cancer. Am Surg 1997;63:868-70.
11) Sharma S, Chang DW, Koutz C, Evans GR, Robb GL, Langstein HN, et al. Incidence of hematoma associated with ketorolac after TRAM flap breast reconstruction. Plast Reconstr Surg 2001;107:352-5.
12) Rice DC, Morris SM, Sarr MG, Farnell MB, van Heerden JA, Grant CS, et al. Intraoperative topical tetracycline sclerotherapy following mastectomy: a prospective, randomized trial. J Surg Oncol 2000; 73:224-7.