PMC9132396_01
Overlying erythema on the reconstructed breast.
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On examination, the surgical site looked clean and healed:no noticeable discharge, signs suggesting undergoing infection or implant rupture (Figure 1).
Slight improvement in clinical signs after intravenous antibiotics administration during her admission.
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However, erythema was still evident over the right breast (Figure 2).
(A) The inner lining of the capsule is eroded and essentially replaced by inflamed granulation tissue, indicating an active organizing inflammatory process. The outer part of the capsule (asterisk) has a dense fibrous stroma (H&E x20). (B) A high-power view of the inner capsule lining shows inflamed granulation tissue with neovascularization, fibroblast proliferation, acute and chronic inflammatory cells (including macrophages) and fibrin deposits on the surface (H&E, x100). (C) The outer part of the capsule is fibrotic with dense, thick collagen deposition (asterisk). It also shows scattered foci of chronic perivascular inflammation (arrow), with congestion and vascular dilatation (H&E, x100).
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The result showed features of a fibrocystic wall with granulation tissue formation and no malignancy (Figure 3).
(a,b) Dramatic improvement postoperatively on her follow up visit.
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The erythema disappeared (Figure 4(a,b)).
PMC9132396_02
(a,b) Obvious distortion in the shape of the left breast.
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She presented to the clinic with noticeable changes in her left breast and increased hardness (Figure 5(a,b)).
(a,b) Dramatic improvement for the left breast signs with maintain a good symmetry.
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The patient showed dramatic improvement and resolution of the main complaint (Figure 6(a,b)).