Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with [unilateral/bilateral] breast swelling, pain, or palpable mass occurring [timeframe] post-implantation. Denies systemic B-symptoms (fever, night sweats, weight loss). History of textured breast implants placed [date/location]. Symptoms characterized by delayed-onset periprosthetic seroma or capsular contracture.
Clinical Examination Findings
Breast examination reveals [asymmetry/swelling/erythema/induration]. Palpable periprosthetic fluid collection noted. Capsular contracture graded as Baker [I-IV]. No palpable axillary lymphadenopathy. Implant surface texture documented as [macro/micro/smooth]. Skin integrity intact; no ulcerations or fungating masses noted.
Treatment Protocol
Surgical management plan: Total capsulectomy (en-bloc resection of implant and capsule) with removal of the textured implant. Histopathological evaluation of the seroma fluid and capsule tissue for CD30+ T-cell markers. Referral to Oncology for staging and potential adjuvant therapy if malignancy is confirmed.