亚甲基蓝染色在乳房手术中的并发症

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摘要

简介:亚甲基蓝在世界范围内已被有效地应用于乳房手术,并发症少。我们展示了两种不同的并发症,包括亚甲基蓝:1)皮肤和实质腐烂时,颜色注入皮下模具和2)支原体感染引起的污染亚甲基蓝乳房缩小手术。方法:我们展示了2008年在亚利桑那大学看到的两个病例,并暗示乳房专家进行管理。我们对2名转诊外科医生因不同适应症输注亚甲蓝的并发症进行了评估和监督。对文献进行了回顾。结果:原发病例是一位67岁的女性左乳浸润导管癌,由她的初级专科医生进行了清除节段性乳房切除术和前哨中心活检。工作专家在乳晕下皮下设计中注入亚甲蓝(从基本肿瘤中移除);不幸的是,这种理解忍受了皮肤和乳房的腐败,需要多次手术清创,最后完成了延迟的初级闭合。该病例可能是一位45岁的老年女性,患有侵袭性小叶癌,并有支原体病史,辅助注射亚甲蓝进行缩乳手术。她需要多次清创,MRI显示肉芽肿伪装成癌症,这使她的疾病程度难以确定。结论:亚甲基蓝在乳房手术中的应用并非没有危害。在这两种情况下,亚甲蓝都注意到并发症需要手术清创局部伤口问题。每个案例都显示出极端的腐败和疾病。亚甲基蓝可能不会引起人们注意到的沮丧,但也可能带来不令人满意的美容效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Complications Emerge in Breast Surgery by using dye methylene blue
Introduction: Methylene blue color has been utilized around the world effectively with few complications in breast surgery. We display two diverse complications including methylene blue: 1) skin and parenchymal rot when color was infused in a subdermal mold and 2) Mycoplasma infection caused by sullied methylene blue in breast lessening surgery. Methods: We show two cases seen at the College of Arizona amid 2008 and alluded to a breast specialist for administration. We assessed and overseen complications of methylene blue color infused by 2 referring surgeons for different indications. A review of the literature was performed. Results: The primary case could be a 67-year ancient female analyzed with invading ductal carcinoma of the left breast for which she was treated by her beginning specialist with cleared out segmental mastectomy and sentinel hub biopsy. The working specialist infused methylene blue in a subareolar subdermal design (removed from the essential tumor); tragically the understanding endured skin and breast corruption requiring multiple surgical debridements and at last accomplishing delayed primary closure. The moment case may be a 45-year ancient female with invading lobular carcinoma with a history of Mycoplasma disease auxiliary to methylene blue infused for breast lessening surgery. She required numerous debridements and had granulomas disguising as cancer on MRI that perplexed her degree of malady. Conclusion: The utilize of methylene blue color in breast surgery isn't without hazard. In both cases methylene blue was mindful for complications requiring surgical debridement for local wound issues. In each case extreme corruption and disease were show. Methylene blue may cause not as it were noteworthy dismalness, but may moreover deliver cosmetically unsatisfactory results.
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