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Delayed breast cellulitis following surgery for breast cancer: A literature review

Breast Care Dec 05, 2018

Exarchos G, et al. - Given a relatively rare occurrence of delayed breast cellulitis (DBC) following breast-conserving surgery, researchers sought the definition of DBC, diagnostic approach, and treatment. With the keywords ‘Delayed breast cellulitis' and ‘Breast conservation therapy cellulitis', they identified 5 papers related to the subject in the PubMed database. Outcomes suggest DBC as primarily an aseptic inflammatory process. Bacterial growth may contribute to its development or recurrence. Risk factors for DBC included obesity, breast size, location of the breast tumor, removal of the axillary lymph nodes, and connective tissue disorders. For managing DBC, anti-inflammatory agents or sole observation is suggested by many authors. Massage and skin care may help preventing lymph stasis and its consequences. Despite a rarity of malignancy, a core biopsy is recommended for cases with persistence of DBC for more than 4 months to rule out recurrent or second primary carcinoma. Outcomes emphasize the significance of correct diagnostic approach as it provides patients with reassurance, minimizes anxiety, and prevents unnecessary medical investigations, treatments, and costs.
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