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Application of Breast Ultrasound Elastography to Differentiate Intracapsular Collection from Silicone-Induced Granuloma of Breast Implant Capsule Complementarily to Contrast-Enhanced Breast Magnetic Resonance Imaging.
de Faria Castro Fleury, Eduardo; Gianini, Ana Claudia; Ayres, Veronica; Ramalho, Luciana C; Roveda, Decio; de Oliveira, Vilmar Marques.
Afiliação
  • de Faria Castro Fleury E; Department of Radiology, IBCC-Insituto Brasileiro de Controle do Câncer, São Paulo, Brazil.
  • Gianini AC; Department of Radiology, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Santa Casa de Misericórdia de São Paulo, São Paulo, Brazil.
  • Ayres V; Department of Radiology, IBCC-Insituto Brasileiro de Controle do Câncer, São Paulo, Brazil.
  • Ramalho LC; Department of Radiology, IBCC-Insituto Brasileiro de Controle do Câncer, São Paulo, Brazil.
  • Roveda D; Department of Radiology, IBCC-Insituto Brasileiro de Controle do Câncer, São Paulo, Brazil.
  • de Oliveira VM; Department of Radiology, Faculdade de Ciências Médicas da Santa Casa de São Paulo, Santa Casa de Misericórdia de São Paulo, São Paulo, Brazil.
Breast Cancer (Auckl) ; 11: 1178223417737994, 2017.
Article em En | MEDLINE | ID: mdl-29147077
BACKGROUND: To determine whether there is correlation between magnetic resonance imaging (MRI) findings and breast elastography to differentiate seroma/hematoma from silicone-induced granuloma of breast implant capsule (SIGBIC). METHODS: Prospective study of 99 patients with breast implants submitted to breast MRI during the period from February 1 to May 1, 2017. Patients who present MRI findings of seroma/hematoma or SIGBIC were submitted to a complementary ultrasound elastography study to evaluate the correlation of the results. The criteria adopted for the diagnosis of granuloma by MRI were heterogeneous hypersignal in the T2-weighted sequences, late contrast enhancement, and black drop sign. Lesions that did not enhance after the use of contrast were considered as seroma/hematoma. By elastography, the results were considered positive for granuloma when presented as hard lesions, whereas seroma/hematoma presented as soft lesions. RESULTS: Of the 99 patients evaluated, 15 were included in the study. Of the 15 patients, 9 had solid intracapsular MRI masses, whereas 6 presented collections without contrast enhancement. The complementary elastography study showed correlation with MRI results in all cases of SIGBIC and seroma/hematoma, being elastography able to differentiate lesions from solid to cystic. CONCLUSIONS: Elastography of intracapsular masses in breast implants presented results compatible with those found by MRI to differentiate solid lesions from collections.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Observational_studies Idioma: En Revista: Breast Cancer (Auckl) Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Observational_studies Idioma: En Revista: Breast Cancer (Auckl) Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos