late seroma
Fluid accumulation around breast implants occurring more than one year post-surgery, potentially indicating BIA-ALCL.
Full Definition
Late seroma refers to fluid collection around breast implants that develops more than one year after implantation, in the absence of trauma or other obvious causes. Unlike early seromas that can occur as part of normal healing, late seromas are concerning as they may be the first sign of BIA-ALCL. The fluid typically accumulates between the implant and the surrounding capsule, causing breast swelling, asymmetry, or discomfort. Any late seroma should be thoroughly investigated with imaging studies and cytological examination of the fluid. The development of late seroma, particularly in patients with textured implants, requires urgent evaluation to rule out lymphoma.
Usage
Usage note: Always specify timing of seroma formation relative to surgery and distinguish from early post-operative seromas.
In Context
- "The patient presented with late seroma formation five years after breast augmentation, requiring immediate cytological evaluation." — clinical assessment
- "Late seroma in the setting of textured implants should always raise suspicion for BIA-ALCL." — medical guideline