alexa Using Breast MRI to Evaluate Complications of Autologous Fat Grafting
ISSN: 2161-1076

Surgery: Current Research
Open Access

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Research Article

Using Breast MRI to Evaluate Complications of Autologous Fat Grafting

Li-Kuo Shen1, Shoei-Loong Lin2, Cheuk-Sing Choy3, Wing P Chan4, Mimmo Gasbarri5 and Ting-Kai Leung4,6*

1Department of Radiology, Shuang Ho Hospital, Taipei Medical University, New Taipei City 235, Taiwan

2Department of Surgery, Taipei Hospital, Ministry of health and Welfare, Taiwan., R.O.C and Department of Surgery, School of Medicine, College of Medicine, Taipei Medical University, Taiwan

3Department of Emergency and Intensive Care, Taipei Hospital, Department of Health, Taiwan

4Department of Radiology, School of Medicine, College of Medicine, Taipei Medical University and Department of Radiology, Wan Fang Hospital, Taipei Medical University, Taiwan

5Dept. of Natural Health Studies / London College of Training & Management, London, UK

6Diagnostic Radiology Department, Taipei Hospital, Ministry of Health and Welfare, Taiwan

*Corresponding Author:
Ting-Kai Leung
Department of Emergency and Intensive Care
Taipei Hospital, Department of Health, Taiwan
Tel: 886982802149
E-mail: [email protected]

Received date: February 22, 2014; Accepted date: June 26, 2014; Published date: June 28, 2014

Citation: Shen LK, Lin SL, Choy CS, Chan WP, Gasbarri M, et al. (2014) Using Breast MRI to Evaluate Complications of Autologous Fat Grafting. Surgery Curr Res 4:197. doi:10.4172/2161-1076.1000197

Copyright: © 2014 Shen LK, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Introduction: During the past few years in Taiwan, there has been a rapid growth of autologous fat grafting procedures performed for cosmetic reasons. We retrospectively demonstrate Complications of Autologous Fat Grafting in the breast, based on clinical presentations and breast MRI imaging. We also discuss the possible method of early detection of complications. Material and method: Twenty-one ethnic Chinese (Taiwanese) women were transferred for delicate breast MRI study in the past year. These patients had suffered different signs and symptoms following the procedure. Clinical and image information were collected from the hospital database. Results: Breast MRI successfully detected all viable fat tissues and complicated lesions of the breasts. The image findings corresponded to the clinical presentation and were used in therapeutic decision making. Fat necrosis with granuloma formations caused by graft rejection was the main complications. The most severe complication was an abscess formation and impending sepsis. Management procedures included operation or drainage; received oral antibiotics; and received clinical observation. Discussion and Conclusion: MRI is capable of detecting the surviving fat graft tissues, and to distinguish degree of malignancy from benign lesions. In complicated cases, the highest incidences showed granuloma formations and fat necrosis. However, laboratory data such as CRP, IgE and complement (C3 &C4) levels only reflected some of the infectious cases and could not be used as monitoring parameters. Breast MRI is an ideal tool for early detection of autologous fat complications without causing indistinguishable conclusions from malignancy. Breast MRI should be performed as early as possible for this complication, so that help for early treatment can be planned.

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