摘要
目的探讨硅凝胶假体置入隆乳术后假体破裂或渗漏引起的形态学改变。方法对11例经手术切除的乳腺凝胶性假瘤标本进行形态学观察。结果临床上触诊很像癌,肉眼观特点为多量纤维瘢痕组织中夹杂着半透明状有光泽的胶样物质;镜下呈慢性肉芽肿图像,肉芽肿中部为紫蓝或淡蓝色的胶样物质,周围有大量异物巨细胞、慢性炎细胞浸润和纤维组织增生,可伴乳腺腺病或导管上皮不典型性增生。结论硅凝胶假体破裂或渗漏可引起不同程度的组织反应和并发症。临床上应注意与乳腺黏液癌和黏液样囊肿鉴别。
Objective To study the morphologic changes of the rupture induced by mammary gel prosthesis insertion. Methods Morphologic observation was carried out in eleven cases of mammary gel pseudotumor specimen. Results Lesion was carcinoma-like in clinical palpation. Grossly, semitransparent and lustrous gel were dispersed in fiberous scar tissues. Microscopically, purple or light blue gel was embedded in chronic granuloma, in which there were phagocytes, lymphocytes infiltration and hyperplasia of fiber tissue around granuloma. Adenosis of breast or duct epithelium atypical hyperplasia were also found. Conclusion The rupture or leakage of gel prosthesis can cause tissue reaction and complications at different degree, and discrimination should be done with mammary mucinous adenocarcinoma and mucinous cyst.
出处
《诊断病理学杂志》
CSCD
2006年第3期194-196,i0009,共4页
Chinese Journal of Diagnostic Pathology
基金
东莞市科学技术局资助课题(200517)
关键词
乳房植入
硅凝胶
手术后并发症
Mammary insertion
Silicon gel
Postoperative commplication
