Post-operative breast seroma

Case contributed by Dr Garth Kruger

Presentation

Previous segmental resection for carcinoma breast. Follow up 6 months after surgery.

Patient Data

Gender: Female

Right breast

Modality: Ultrasound

A thick walled fluid collection (there is posterior acoustic enhancement) located in the surgical scar. The scar is visible extending to your left on the image. 

Case Discussion

This seroma is stable compared with the study of 3 months before. The thick walled appearance is typical but not pathognomonic for a seroma.  The almost nodular appearance of the wall is also seen in fat necrosis.

Anecdotally it seems that once the seroma is thick  walled as in this case, it does not resolve any further. Aspiration is easy under ultrasound guidance and often gives symptomatic relief.

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Case Information

rID: 21253
Case created: 12th Jan 2013
Last edited: 17th Dec 2015
System: Breast
Inclusion in quiz mode: Included

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