Publications by authors named "Juan R Mella-Catinchi"
Introduction: Silicone Lymphadenopathy (SL) is a complication of breast implants that involves migration of silicone to nearby soft tissue/lymph nodes. Data on its clinical features and management is scarce. We aimed to identify the clinical presentation and management of SL.
View Article and Find Full Text PDFBackground: Postmastectomy radiation therapy (PMRT) improves disease-free survival in breast cancer but reduces aesthetic satisfaction. Proton PMRT has gained popularity because it results in fewer systemic complications. There is a lack of data regarding revision surgeries for prepectoral implant-based breast reconstruction (PP-IBBR) following radiation.
View Article and Find Full Text PDFBackground: The lymphatic microsurgical preventive healing approach reduces the risk of lymphedema after axillary lymph node dissection. We identified surgical factors of Lymphatic Microsurgical Preventive Healing Approach (LYMPHA) that influence lymphedema rates focusing on the vein caliber used.
Methods: A single-institution retrospective cohort study included breast cancer patients undergoing axillary lymph node dissection and LYMPHA (April 2021-November 2022) with a follow-up of at least 1 year.
Article Synopsis
- Implant-based breast augmentations are common in the U.S., but silicone lymphadenopathy (SL) is a rare complication where silicone migrates to lymph nodes and soft tissue.
- A study analyzed 101 of 598 articles about SL, finding that 33% of cases were discovered incidentally, with painless lymphadenopathy being the most common symptom, particularly in patients with silicone implants.
- Although many SL cases are asymptomatic, some require surgical intervention, like biopsies or explantation of ruptured implants, and management should be personalized based on the individual's condition.