%0 Journal Article
%T Nursing Care and Causative Analysis of Grade IV Capsular Contracture Following Breast Cancer Expander Implantation
%A Rong Chen
%A Nan Zhang
%A Huiting Zhang
%J Advances in Breast Cancer Research
%P 1-9
%@ 2168-1597
%D 2024
%I Scientific Research Publishing
%R 10.4236/abcr.2024.131001
%X <strong>Objective:</strong><span style=\"font-family:;\" \"=\"\"><span style=\"font-family:Verdana;\"> By
observing the treatment and nursing care of a patient with Grade IV capsular
contracture following breast cancer expander implantation and subsequent Stage
II reconstruction, we aim to analyze the reasons for the formation of capsular
contracture after Stage I expander implantation and prevent its recurrence
following Stage II reconstruction. </span><b><span style=\"font-family:Verdana;\">Methods:</span></b><span style=\"font-family:Verdana;\"> In May 2020, the patient
noticed an increase in the size of a breast mass. In August, she underwent
AC-THP neoadjuvant chemotherapy, followed by a ˇ°right breast-conserving
nipple-areolar subglandular excision + right axillary lymph node dissection +
expander implantationˇ± surgery in November 2020. Radiation therapy began in
January 2021. During radiation therapy, the patient experienced severe breast
hardening, distortion, tenderness, and was diagnosed with Grade IV capsular
contracture. To relieve the capsular contracture, the patient underwent a ˇ°contracted
capsule incision and release procedure + removal of the right breast expander +
right breast implantationˇ± surgery in July 2021. Postoperatively, measures were
taken to prevent incision infection, emphasizing aseptic techniques, ensuring
smooth negative pressure drainage, reducing skin flap tension, monitoring skin
flap blood supply, actively preventing subcutaneous effusion and hematoma, and
applying appropriate compression dressings. </span><b><span style=\"font-family:Verdana;\">Results: </span></b><span style=\"font-family:Verdana;\">The patient was
discharged after the removal of the drainage tube. During the postoperative
follow-up at 3 and 6 months, there was no recurrence of capsular contracture,
and the breast appeared full, upright, and relatively soft. There were no
complications such as hematoma, infection, breast implant rupture, breast
sagging, or displacement. The patient had a good outcome without additional
financial or surgical burdens. </span><b><span style=\"font-family:Verdana;\">Conclusion: </span></b><span style=\"font-family:Verdana;\">The occurrence of Grade IV
capsular contracture in the patient is generally related to infection after
Stage I expander implantation, improper compression dressing, excessive saline injection
causing content infiltration, and radiation therapy. Therefore, it is
recommended to enhance the intraoperative and postoperative prophylactic use of
antibiotics after Stage I expander implantation.
%K Breast Cancer
%K Capsular Contracture
%K Expander Implantation
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=129371