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. 2019 Jun 16:2019:7437324.
doi: 10.1155/2019/7437324. eCollection 2019.

Postsurgical Ultrasound Evaluation of Patients with Prosthesis in Acellular Dermal Matrix: Results from Monocentric Experience

Ballesio Laura  1 , Casinelli Alice  1 , Gigli Silvia  1 , Boldrini Cristiana  1 , Di Taranto Giuseppe  2 , Albano Antonio  2 , Onesti Maria Giuseppina  2
Affiliations

Postsurgical Ultrasound Evaluation of Patients with Prosthesis in Acellular Dermal Matrix: Results from Monocentric Experience

Ballesio Laura et al. Int J Surg Oncol. .

Abstract

Mastectomy and breast prosthetic reconstruction is the most common surgical treatment for women diagnosed with breast cancer. In the last few years, breast prosthetic augmentation in acellular dermal matrix (ADM) has been introduced. The aim of this study is to present our single-center experience in evaluating the outcome of patients who underwent breast reconstruction in ADM, using ultrasound (US) examination. US follow-up allows evaluating both normal postoperative findings and changes and potential local complications, demonstrating that ADM is a safe option for women candidates for mastectomy.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
Biological membrane presenting as a hypoechoic periprosthetic layer at T0.
Figure 2
Figure 2
Biological membrane presenting as a hypoechoic periprosthetic layer at T0.
Figure 3
Figure 3
The biological membrane is partially visible at T2 because of its physiological reimbursement.
Figure 4
Figure 4
The biological membrane is still visible at T2 with a thickness of 2 mm, after radiation therapy.
Figure 5
Figure 5
Marked periprosthetic fluid collection.
Figure 6
Figure 6
Inhomogeneity and thickening of the subcutaneous adipose tissue at T2, after radiation therapy.
Figure 7
Figure 7
Hypoechoic nodule with well-defined margins in the inferior-external quadrant of the right breast that is a liponecrosis.
Figure 8
Figure 8
Hypoechoic nodule with irregular margins measuring 4 mm in the periareolar area on the right breast, suggestive for a suture granuloma.
Figure 9
Figure 9
Hypoechoic nodule measuring 6 mm in the lower-internal quadrant, suggestive for a lump at T0 examination. At T1, this nodule occurred increasing in size measuring 9 mm, so a US-guided biopsy was performed.
Figure 10
Figure 10
Graphic representation of the results of US evaluation over time, patients. A: membrane visibility; B: mediolateral membrane folds; C: periprosthetic fluid; D: inhomogeneity of soft tissues; and E: liponecrosis.
See this image and copyright information in PMC

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