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Peranan Magnetic Resonance Imaging (MRI) payudara pada kasus benign late peri- implant effusion pasca breast augmentation: laporan kasus

  • Perina Enri Lisniawan ,
  • Putu Utami Dewi ,
  • Ni Nyoman Margiani ,


Abstract

Background: Breast augmentation is a surgical procedure performed to increase breast size by implanting implants or through fat transfer. MRI is the gold standard for evaluating the integrity of breast implants, with a sensitivity of 80–90% and a specificity of 80–90% for detecting implant rupture. In this case report, we will discuss the role of breast MRI in cases of benign late peri-implant effusion after breast augmentation.

Case Presentation: A 49-year-old female patient has complained of a lump in her left breast since 2017. The patient had surgery to insert right and left breast implants in 2004. The patient underwent ultrasound and MRI examinations at Prof. I.G.N.G Ngoerah Hospital and obtained results in the form of an anechoic area, with internal echo and a solid component in it in the submamary of the left breast, susp. infectious process, and multiple non-suspicious left axillary lymphadenopathy. Meanwhile, no nodules, masses, or cysts were found in the right breast, and no enlarged lymph nodes in the right axilla were found. The patient was diagnosed with benign late peri-implant effusion after breast augmentation and underwent implant removal and capsulectomy after seeing the results of the MRI examination.

Conclusion: An MRI examination can help identify an implant effusion after a breast augmentation procedure.

 

Latar belakang: Breast augmentation merupakan prosedur pembedahan yang dikerjakan untuk meningkatkan ukuran payudara melalui penanaman implan maupun melalui transfer lemak. MRI merupakan baku emas  standar untuk mengevaluasi integritas dari implan payudara, dengan sensitivitas mencapai 80-90%, dan spesifisitas 80-90% untuk mendeteksi adanya ruptur implan. Pada laporan kasus ini akan dibahas mengenai peranan MRI payudara pada kasus benign late peri- implant effusion pasca breast augmentation.

Presentasi Kasus: Pasien perempuan 49 tahun datang dengan keluhan benjolan pada payudara kiri sejak tahun 2017. Pasien pernah melakukan operasi pemasangan implant payudara kanan kiri pada tahun 2004. Pada pasien dilakukan pemeriksaan ultrasonografi dan MRI di RSUP Prof. I.G.N.G Ngoerah didapatkan hasil berupa area anechoic, dengan internal echo dan komponen solid didalamnya pada submamary payudara kiri, susp. proses infeksi dan multiple non suspicious lymphadenopathy axilla kiri. Sedangkan tidak ditemukan adanya nodul, massa, maupun kista pada payudara kanan serta tidak ditemukan adanya pembesaran kelenjar getah bening pada axilla kanan. Pasien didiagnosis dengan benign late peri- implant effusion pasca breast augmentation dan dilakukan tindakan implant removal dan kapsulektomi setelah melihat hasil dari pemeriksaan MRI.

Simpulan: Pemeriksaan MRI dapat membantu mengidentifikasi suati efusi perimplan pasca tindakan breast augmentation.

Keywords: Benign Late Peri- Implant Effusion Breast Augmentation Magnetic Resonance Imaging

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How to Cite

Lisniawan, P. E., Dewi, P. U., & Margiani, N. N. (2023). Peranan Magnetic Resonance Imaging (MRI) payudara pada kasus benign late peri- implant effusion pasca breast augmentation: laporan kasus. Intisari Sains Medis, 14(2), 707–711. https://doi.org/10.15562/ism.v14i2.1681
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Perina Enri Lisniawan
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Putu Utami Dewi
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Ni Nyoman Margiani
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