Doxycycline Sclerotherapy to Manage Seroma Following Breast Cancer Surgery
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Seroma after breast cancer surgery is very common with an incidence of 3–85% . There are many ways to deal with seroma, including aspiration, suction and corrugated drains, sclerosants, and other chemical methods. This article discusses the use of doxycycline sclerotherapy in managing seroma after breast surgery.
Forty-six-year-old premenopausal lady with infiltrating duct carcinoma right breast cT1 N0 M0 underwent breast conservation surgery with sentinel node biopsy. Frozen section (FS) of the sentinel nodes did not reveal metastasis; margins of lumpectomy were negative. Final histopathology pT1cN0 M0 ER+ PR+ Her2Neu−. Postoperatively she had a seroma right axilla which was aspirated twice and she received adjuvant radiotherapy to the breast. About a month after the completion of radiotherapy, she presented with clear discharge from the nipple and found to have a seroma in the breast (lumpectomy site) which was aspirated. She underwent corrugated...