Seroma after breast surgery

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Seromas are very common after a breast cancer surgical procedure. They can also develop following axillary surgery if there has been metastasis and lymph node involvement. Is that serious?

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A seroma is a pocket of clear serous fluid that sometimes develops in the body after surgery. This fluid is composed of blood plasma that has seeped out of ruptured small blood vessels and inflammatory fluid produced by the injured and dying cells. Seromas are different from hematomaswhich contain red blood cellsand different from abscesseswhich contain pus and result from an infection.

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In most cases, seromas are harmless and are allowed to heal naturally. Seromas are not related to cancer cells and pose no increased risk or concern. However, they can cause discomfort and lead to a longer hospital stay after surgery.

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A seroma is a collection of fluid that builds up under the surface of your skin. Seromas may develop after a surgical procedure, most often at the site of the surgical incision or where tissue was removed. The swelling and fluid may start collecting several weeks after surgery.

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Metrics details. Seroma formation is the most frequent postoperative complication after breast cancer surgery. We carried out a study to investigate the effect of various demographic, clinical and therapeutic variables on seroma formation.

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Formation of a seroma most frequently occurs after mastectomy and axillary surgery. Prolonged drainage is troublesome as it increases the risk for infection and can significantly delay adjuvant therapy. Because the true etiology of a seroma is unknown, a multifactorial-causation hypothesis has been accepted.

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The seromas were located in the axilla, upper chest, and breast. Of the 35 women with a seroma, 33 had a greater than mL increase in arm volume. Based on the International Criteria for Lymphedema Diagnosis, 26 of the 35 women with a seroma had severe lymphedema, 6 had moderate lymphedema, and 3 had mild lymphedema symptoms, Mei R.

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Metrics details. In general, though seroma usually disappears within several weeks, some patients are troubled with chronic seroma. Seroma predisposes to infection leading to wound related complications and may also delay adjuvant chemoradiation, leading to less effective breast cancer treatment.

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After your operation 2. Pain and discomfort 3. Lymphoedema 4.

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A breast seroma is a collection pocket of serous fluid that can develop after trauma to the breast or following procedures such as breast surgery or radiation therapy. Serous fluid is a transparent, pale yellow fluid that contains protein, but no blood cells or pus. Most often, seromas are reabsorbed by the body over a period of several weeks, but fine needle drainage is sometimes needed to remove the fluid. While seromas do not increase the risk of breast cancer, they sometimes heal with scar tissue or calcifications that can raise concern on mammograms in the future.

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