DOI QR코드

DOI QR Code

Unilateral Chronic Organizing Hematoma after Breast Explantation Mimicking Chest Wall Tumor: a Case Report with Imaging Features

  • Jang, Seon Woong (Department of Radiology, Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Lee, Ji Young (Department of Radiology, Ilsan Paik Hospital, Inje University College of Medicine)
  • Received : 2021.11.08
  • Accepted : 2022.01.28
  • Published : 2022.03.30

Abstract

The number of women undergoing breast augmentation surgery with a prosthesis for cosmetic purposes or reconstruction after a mastectomy is steadily increasing. Hematoma is one of complications associated with breast augmentation surgery. It usually occurs early in the postoperative period. It rarely occurs late (after six months). However, chronic hematomas after prosthesis removal have not yet been reported in the radiological literature. We present a case of unilateral chronic organizing hematoma that developed late and grew persistently over long period after breast explantation, mimicking a soft tissue tumor of the chest wall clinically. Meanwhile, characteristic magnetic resonance imaging features of heterogeneous signal intensities on T1-weighted and T2-weighted images and dark signal intensity with a persistent enhancement of the peripheral wall of the lesion were found. These can be used for a differential diagnosis.

Keywords

References

  1. Raj SD, Karimova EJ, Fishman MDC, et al. Imaging of breast implant-associated complications and pathologic conditions: breast imaging. Radiographics 2017;37:1603-1604 https://doi.org/10.1148/rg.2017170025
  2. Fioramonti P, Lovero S, Kaciulyte J, Ribuffo D, Frattaroli JM. An unusual case of late hematoma after imlant-based breast reconstruction mimicking an anaplastic large cell lymphoma: a case report and literature review. Eur J Plast Surg 2022;45:1-10 https://doi.org/10.1007/s00238-021-01874-6
  3. Rohrich RJ, Beran SJ, Restifo RJ, Copit SE. Aesthetic management of the breast following explantation: evaluation and mastopexy options. Plast Reconstr Surg 1998;101:827-837 https://doi.org/10.1097/00006534-199803000-00039
  4. Katsnelson JY, Spaniol JR, Buinewicz JC, Ramsey FV, Buinewicz BR. Outcomes of implant removal and capsulectomy for breast implant illness in 248 patients. Plast Reconstr Surg Glob Open 2021;9:e3813
  5. Park SH, Park ES, Kang SG. Late capsular hematoma after prosthesis removal following aesthetic breast augmentation: a case report. Arch Aesthetic Plast Surg 2017;23:96-100 https://doi.org/10.14730/aaps.2017.23.2.96
  6. Daw JL, Lewis VL, Smith JW. Chronic expanding hematoma within a periprosthetic breast capsule. Plast Reconstr Surg 1996;97:1469-1472 https://doi.org/10.1097/00006534-199606000-00026
  7. Reid JD, Kommareddi S, Lankerani M, Park MC. Chronic expanding hematomas. A clinicopathologic entity. JAMA 1980;244:2441-2442 https://doi.org/10.1001/jama.1980.03310210043026
  8. Lee J, Lee T, Oh E, Yoon YC. Temporal evolution of a chronic expanding organizing hematoma on MRI, including functional MR imaging techniques: a case report. Investig Magn Reson Imaging 2017;21:43-50 https://doi.org/10.13104/imri.2017.21.1.43
  9. Nam SJ, Kim S, Lim BJ, et al. Imaging of primary chest wall tumors with radiologic-pathologic correlation. Radiographics 2011;31:749-770 https://doi.org/10.1148/rg.313105509
  10. McKenzie G, Raby N, Ritchie D. Pictorial review: Non-neoplastic soft-tissue masses. Br J Radiol 2009;82:775-785 https://doi.org/10.1259/bjr/17870414