Abnormal Ultrasonographic Findings of Acellular Dermal Matrix in Implant-Based Breast Reconstruction: Correlations with Histopathology
Acellular dermal matrix (ADM) in implant-based breast reconstruction can show various ultrasound (US) findings. However, there are limited reports on the US features of the ADM. The aims of this study were to evaluate US findings of the ADM in implant-based breast reconstruction and correlate them w...
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| Veröffentlicht in: | Journal of clinical medicine 2022-02, Vol.11 (4), p.1057 |
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| creator | Kim, Young Seon Lee, Won Seob Park, Bo-Yoon Choi, Manki Lee, Jun Ho Bae, Young Kyung Kim, Il-Kug |
| description | Acellular dermal matrix (ADM) in implant-based breast reconstruction can show various ultrasound (US) findings. However, there are limited reports on the US features of the ADM. The aims of this study were to evaluate US findings of the ADM in implant-based breast reconstruction and correlate them with histopathological findings.
Between January 2015 and August 2020, 250 women who underwent implant-based breast reconstruction with ADM and a breast US examination at 6 months to 1 year after reconstruction were retrospectively analyzed. Abnormal US findings were classified as type 1 (focal thickening with decreased echogenicity), 2 (diffusely hyperechoic), or 3 (bright echogenic spots). ADM biopsy was performed in 33 patients who underwent second stage or revisional surgeries.
In total, 176 consecutive women with 207 US findings were analyzed. The US findings were normal in 52.2% of the women. The percentages of type 1, 2, and 3 patients were 13.5%, 11.1%, and 23. 2%, respectively. These patients had microscopic findings that showed patchy areas with chronic inflammatory infiltrates, dense collagen bundles without degenerative or inflammatory changes, and empty spaces or degenerated foci unaccompanied by inflammation.
Knowing the various ADM presentations on US can help avoid unnecessary invasive procedures. |
| doi_str_mv | 10.3390/jcm11041057 |
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Between January 2015 and August 2020, 250 women who underwent implant-based breast reconstruction with ADM and a breast US examination at 6 months to 1 year after reconstruction were retrospectively analyzed. Abnormal US findings were classified as type 1 (focal thickening with decreased echogenicity), 2 (diffusely hyperechoic), or 3 (bright echogenic spots). ADM biopsy was performed in 33 patients who underwent second stage or revisional surgeries.
In total, 176 consecutive women with 207 US findings were analyzed. The US findings were normal in 52.2% of the women. The percentages of type 1, 2, and 3 patients were 13.5%, 11.1%, and 23. 2%, respectively. These patients had microscopic findings that showed patchy areas with chronic inflammatory infiltrates, dense collagen bundles without degenerative or inflammatory changes, and empty spaces or degenerated foci unaccompanied by inflammation.
Knowing the various ADM presentations on US can help avoid unnecessary invasive procedures.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm11041057</identifier><identifier>PMID: 35207330</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Biopsy ; Body mass index ; Breast cancer ; Cancer therapies ; Chemotherapy ; Clinical medicine ; Mastectomy ; Patients ; Radiation therapy ; Skin ; Skin & tissue grafts ; Surgery ; Ultrasonic imaging</subject><ispartof>Journal of clinical medicine, 2022-02, Vol.11 (4), p.1057</ispartof><rights>2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2022 by the authors. 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-617951a83234c45441d5a066da8cf25d27e2e76bd28c6619c687002d90b079663</citedby><cites>FETCH-LOGICAL-c409t-617951a83234c45441d5a066da8cf25d27e2e76bd28c6619c687002d90b079663</cites><orcidid>0000-0002-0062-6420 ; 0000-0002-2428-8403 ; 0000-0002-1204-7186 ; 0000-0001-9225-1082 ; 0000-0002-9168-8204</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8877379/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8877379/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27903,27904,53770,53772</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35207330$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Young Seon</creatorcontrib><creatorcontrib>Lee, Won Seob</creatorcontrib><creatorcontrib>Park, Bo-Yoon</creatorcontrib><creatorcontrib>Choi, Manki</creatorcontrib><creatorcontrib>Lee, Jun Ho</creatorcontrib><creatorcontrib>Bae, Young Kyung</creatorcontrib><creatorcontrib>Kim, Il-Kug</creatorcontrib><title>Abnormal Ultrasonographic Findings of Acellular Dermal Matrix in Implant-Based Breast Reconstruction: Correlations with Histopathology</title><title>Journal of clinical medicine</title><addtitle>J Clin Med</addtitle><description>Acellular dermal matrix (ADM) in implant-based breast reconstruction can show various ultrasound (US) findings. However, there are limited reports on the US features of the ADM. The aims of this study were to evaluate US findings of the ADM in implant-based breast reconstruction and correlate them with histopathological findings.
Between January 2015 and August 2020, 250 women who underwent implant-based breast reconstruction with ADM and a breast US examination at 6 months to 1 year after reconstruction were retrospectively analyzed. Abnormal US findings were classified as type 1 (focal thickening with decreased echogenicity), 2 (diffusely hyperechoic), or 3 (bright echogenic spots). ADM biopsy was performed in 33 patients who underwent second stage or revisional surgeries.
In total, 176 consecutive women with 207 US findings were analyzed. The US findings were normal in 52.2% of the women. The percentages of type 1, 2, and 3 patients were 13.5%, 11.1%, and 23. 2%, respectively. These patients had microscopic findings that showed patchy areas with chronic inflammatory infiltrates, dense collagen bundles without degenerative or inflammatory changes, and empty spaces or degenerated foci unaccompanied by inflammation.
Knowing the various ADM presentations on US can help avoid unnecessary invasive procedures.</description><subject>Biopsy</subject><subject>Body mass index</subject><subject>Breast cancer</subject><subject>Cancer therapies</subject><subject>Chemotherapy</subject><subject>Clinical medicine</subject><subject>Mastectomy</subject><subject>Patients</subject><subject>Radiation therapy</subject><subject>Skin</subject><subject>Skin & tissue grafts</subject><subject>Surgery</subject><subject>Ultrasonic imaging</subject><issn>2077-0383</issn><issn>2077-0383</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkV9rFDEUxYNYbKl98l0CvghlNH9mkowPwna1tlARxD6Hu5nsbpZMMiYZtV_Az-1MW8u29yX3cn8czs1B6BUl7zhvyfud6SklNSWNfIaOGJGyIlzx53v9ITrJeUemUqpmVL5Ah7yZtpyTI_R3sQox9eDxtS8Jcgxxk2DYOoPPXehc2GQc13hhrPejh4Q_2Vv6K5Tk_mAX8GU_eAilOoNsO3yWLOSCv1sTQy5pNMXF8AEvY0rWwzxk_NuVLb5wucQByjb6uLl5iQ7W4LM9uX-P0fX55x_Li-rq25fL5eKqMjVpSyWobBsKijNem7qpa9o1QIToQJk1azomLbNSrDqmjBC0NUJJQljXkhWRrRD8GH280x3GVW87Y8N0tNdDcj2kGx3B6ceb4LZ6E39ppaTksp0E3t4LpPhztLno3uX5cyDYOGbNxBQLl5KSCX3zBN3FMYXpvJliUrVEzY5O7yiTYs7Jrh_MUKLniPVexBP9et__A_s_UP4PEFijPQ</recordid><startdate>20220217</startdate><enddate>20220217</enddate><creator>Kim, Young Seon</creator><creator>Lee, Won Seob</creator><creator>Park, Bo-Yoon</creator><creator>Choi, Manki</creator><creator>Lee, Jun Ho</creator><creator>Bae, Young Kyung</creator><creator>Kim, Il-Kug</creator><general>MDPI AG</general><general>MDPI</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-0062-6420</orcidid><orcidid>https://orcid.org/0000-0002-2428-8403</orcidid><orcidid>https://orcid.org/0000-0002-1204-7186</orcidid><orcidid>https://orcid.org/0000-0001-9225-1082</orcidid><orcidid>https://orcid.org/0000-0002-9168-8204</orcidid></search><sort><creationdate>20220217</creationdate><title>Abnormal Ultrasonographic Findings of Acellular Dermal Matrix in Implant-Based Breast Reconstruction: Correlations with Histopathology</title><author>Kim, Young Seon ; Lee, Won Seob ; Park, Bo-Yoon ; Choi, Manki ; Lee, Jun Ho ; Bae, Young Kyung ; Kim, Il-Kug</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-617951a83234c45441d5a066da8cf25d27e2e76bd28c6619c687002d90b079663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Biopsy</topic><topic>Body mass index</topic><topic>Breast cancer</topic><topic>Cancer therapies</topic><topic>Chemotherapy</topic><topic>Clinical medicine</topic><topic>Mastectomy</topic><topic>Patients</topic><topic>Radiation therapy</topic><topic>Skin</topic><topic>Skin & tissue grafts</topic><topic>Surgery</topic><topic>Ultrasonic imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Young Seon</creatorcontrib><creatorcontrib>Lee, Won Seob</creatorcontrib><creatorcontrib>Park, Bo-Yoon</creatorcontrib><creatorcontrib>Choi, Manki</creatorcontrib><creatorcontrib>Lee, Jun Ho</creatorcontrib><creatorcontrib>Bae, Young Kyung</creatorcontrib><creatorcontrib>Kim, Il-Kug</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of clinical medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Young Seon</au><au>Lee, Won Seob</au><au>Park, Bo-Yoon</au><au>Choi, Manki</au><au>Lee, Jun Ho</au><au>Bae, Young Kyung</au><au>Kim, Il-Kug</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Abnormal Ultrasonographic Findings of Acellular Dermal Matrix in Implant-Based Breast Reconstruction: Correlations with Histopathology</atitle><jtitle>Journal of clinical medicine</jtitle><addtitle>J Clin Med</addtitle><date>2022-02-17</date><risdate>2022</risdate><volume>11</volume><issue>4</issue><spage>1057</spage><pages>1057-</pages><issn>2077-0383</issn><eissn>2077-0383</eissn><abstract>Acellular dermal matrix (ADM) in implant-based breast reconstruction can show various ultrasound (US) findings. However, there are limited reports on the US features of the ADM. The aims of this study were to evaluate US findings of the ADM in implant-based breast reconstruction and correlate them with histopathological findings.
Between January 2015 and August 2020, 250 women who underwent implant-based breast reconstruction with ADM and a breast US examination at 6 months to 1 year after reconstruction were retrospectively analyzed. Abnormal US findings were classified as type 1 (focal thickening with decreased echogenicity), 2 (diffusely hyperechoic), or 3 (bright echogenic spots). ADM biopsy was performed in 33 patients who underwent second stage or revisional surgeries.
In total, 176 consecutive women with 207 US findings were analyzed. The US findings were normal in 52.2% of the women. The percentages of type 1, 2, and 3 patients were 13.5%, 11.1%, and 23. 2%, respectively. These patients had microscopic findings that showed patchy areas with chronic inflammatory infiltrates, dense collagen bundles without degenerative or inflammatory changes, and empty spaces or degenerated foci unaccompanied by inflammation.
Knowing the various ADM presentations on US can help avoid unnecessary invasive procedures.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>35207330</pmid><doi>10.3390/jcm11041057</doi><orcidid>https://orcid.org/0000-0002-0062-6420</orcidid><orcidid>https://orcid.org/0000-0002-2428-8403</orcidid><orcidid>https://orcid.org/0000-0002-1204-7186</orcidid><orcidid>https://orcid.org/0000-0001-9225-1082</orcidid><orcidid>https://orcid.org/0000-0002-9168-8204</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central Open Access; MDPI - Multidisciplinary Digital Publishing Institute; PubMed Central |
| subjects | Biopsy Body mass index Breast cancer Cancer therapies Chemotherapy Clinical medicine Mastectomy Patients Radiation therapy Skin Skin & tissue grafts Surgery Ultrasonic imaging |
| title | Abnormal Ultrasonographic Findings of Acellular Dermal Matrix in Implant-Based Breast Reconstruction: Correlations with Histopathology |
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