IMAGING FINDINGS OF ABSORBABLE VICRYL MESH IMPLANTED AFTER LUMPECTOMY
Keywords:
mammography, ultrasonography, magnetic resonance imaging, postoperative care, surgical meshAbstract
The Vicryl mesh implantation after lumpectomy, which was first proposed in 2003, is a simple technique, less expensive than other proposed implantable biomaterials. However, the postoperative follow-up may be difficult, since the implanted mesh impairs the evaluation of surrounding breast parenchyma at both mammography and ultrasound. Magnetic resonance imaging can be used as a problem-solving tool if there are equivocal findings at physical exam, mammography, or ultrasound. Nevertheless, there are only few reports in literature about the imaging aspects of implanted absorbable mesh in the breast. The images presented in this case show the typical presentation of a foreign body granuloma associated with the Vicryl mesh. Breast radiologists and surgeons should be aware of these imaging aspects to avoid misdiagnosis and unnecessary additional exams.
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Copyright (c) 2019 Almir Galvão Vieira Bitencourt, Marilia Mendes de Azevedo, Vinicius Cardona Felipe, Juliana Alves de Souza, Mauricio Doi, Hugo Fontan Kohler

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