The reasons of long-term existence of seroma after modified radical mastectomy

VernacularTitle:乳腺癌术后皮下积液长期存在相关问题的探讨
Author: Zhi LIANG ; Mingxia CHEN ; Shuyan LI ; Bo YU ; Xiangjuan LIU ; Jinguang HAO
Publication Type:Journal Article
Keywords: Breast neoplasams; Seroma; fibrous lamina
From: Chinese Journal of Primary Medicine and Pharmacy 2014;(22):3450-3452
CountryChina
Language:Chinese
Abstract: Objective To study the reasons of seroma formation and long-term existence after modified radi-cal mastectomy ( MRM) .Methods The structure of fibrous lamina for seroma postoperative breast cancer was ana-lyzed by pathological methods;the composition of drainage fluids after MRM in the different postoperative time peri-ods was determined;and the structure of fibrous lamina following an experimental mastectomy model created in rats was investigated,which the process of fibrous lamina formation was imitated.Results There were three layer struc-tures in fibrous lamina,including fibrous leakage,capillaries and fiber lay.Hematology test results supported seroma for exudate.Animal model showed that with the extension of time,fibrous lamina thickened gradually.Conclusion It is capillaries in fibrous lamina that seroma long-standing histological basis.Maybe excising or destructing the structure of subcutaneous fibrous lamina,making the procedure of wound healing to begin again as soon as possible,which is a kind of effective method to solve the problem of seroma long-term existence after MRM.