case_images: PMC10795504_01
case_images: Color Doppler ultrasound showed a solid phyma, with regular shape and clear boundary.
case_images: fsurg-10-1269301-g001.jpg
case_images: PMC10795504_01_fsurg-10-1269301-g001.jpg
case_images: F1
case_images: High-frequency ultrasound showed a 3.90 cm x 1.21 cm x 4.22 cm solid phyma in the upper outer quadrant of the right breast, with clear boundary and regular shape, and no significant enlargement of axillary lymph nodes (Figure 1).
case_images: Breast MRI indicated a nodular lesion of abnormal enhancement, with clear boundary and slightly irregular shape.
case_images: fsurg-10-1269301-g002.jpg
case_images: PMC10795504_01_fsurg-10-1269301-g002.jpg
case_images: F2
case_images: The magnetic resonance imaging (MRI) of the breast indicated a 3.65 cm x 1.10 cm x 4.01 cm nodular lesion of abnormal enhancement at approximately 10 o'clock in the right breast, with clear boundary and slightly irregular shape (Figure 2).
case_images: On postoperative day 2, there was milky fluid in the drainage tube, suggesting the existence of chylous fistula.
case_images: fsurg-10-1269301-g003.jpg
case_images: PMC10795504_01_fsurg-10-1269301-g003.jpg
case_images: F3
case_images: On postoperative day 2, 90 ml of milky liquid was observed in the closed suction drainage (Figure 3).
case_images: During operation, we performed segmental ligation on of fresh granulation tissue after removing necrotic tissue.
case_images: fsurg-10-1269301-g004.jpg
case_images: PMC10795504_01_fsurg-10-1269301-g004.jpg
case_images: F4
case_images: Therefore, we performed segmental ligation on fresh granulation tissue after removing necrotic tissue to achieve the goal of ligating potential leakage sites and further promote fibrosis of the tissue (Figure 4).
case_images: Color Doppler ultrasound indicated a small amount of fluid accumulated in the surgical area.
case_images: fsurg-10-1269301-g005.jpg
case_images: PMC10795504_01_fsurg-10-1269301-g005.jpg
case_images: F5
case_images: The color Doppler ultrasound showed a small amount of fluid accumulated in the surgical area (Figure 5) and then the drain tube was removed on postoperative day 11.