Actively Recruiting
Prospective, International Study to Identify Markers Predicting Seroma Development After Mastectomy With or Without Implant Reconstruction
Led by University Hospital Augsburg · Updated on 2025-02-28
2000
Participants Needed
1
Research Sites
N/A
Total Duration
On this page
AI-Summary
What this Trial Is About
This research aims to identify markers that predict the risk of developing seromas, a common and serious complication after breast surgery, especially mastectomy. The study focuses on women with breast cancer or those at high risk undergoing mastectomy with or without implant reconstruction. Researchers are investigating the role of immune and inflammatory processes in seroma formation and analyzing tumor and surrounding tissue to understand possible specific immune responses related to cancer. Participants receive standard surgical treatments, including mastectomy and implant placement according to their clinical situation. During surgery, swabs are collected from the skin and surgical site. If seromas occur, further procedures like seroma puncture and ultrasound are performed to assess size and manage the condition. Blood samples are taken at scheduled times to study systemic immune responses. The study is international and includes multiple groups, such as breast cancer patients with different surgical plans and healthy women undergoing cosmetic or risk-reducing breast surgery. Participants are followed for six months, during which researchers collect clinical data, imaging, and laboratory samples to compare findings between those who develop seromas and those who do not. The main outcome is to identify patient groups at increased seroma risk. Secondary outcomes include comparing local and systemic immune responses and examining differences between cancer and non-cancer groups. This follow-up period allows detailed monitoring of seroma development and related immune processes to guide future personalized care strategies.
CONDITIONS
Brief Title
Seroma of the Mammary Gland
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Women aged 18 years or older
- Written informed consent provided
- First diagnosis of breast cancer or ductal carcinoma in situ (DCIS) at any stage, with all histopathological subtypes
- Planned surgical procedure including mastectomy (skin-sparing or simple) with or without implant or expander insertion
- Healthy women at high risk for breast cancer planning bilateral risk-reducing mastectomy and implant reconstruction
- Healthy women planning cosmetic breast implant surgery
You will not qualify if you...
- Age under 18 years
- Male sex
- Breast cancer patients planned for breast conserving therapy
- Recurrent breast cancer disease
- History of previous breast surgery
- Diagnosis of lobular carcinoma in situ (LCIS) only
- Pregnancy at the time of diagnosis
- Known immunodeficiency
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Day of surgery
Participants undergo mastectomy with or without implant reconstruction, including intraoperative swab collection from the skin and surgical site.
1 visit (in-person)
Duration - Up to 6 months
Participants are monitored for seroma development with blood sampling at defined time points. If a seroma occurs, participants undergo sonographic evaluation and may have seroma puncture if clinically needed.
Multiple visits for blood sampling and assessments as needed for seroma monitoring
Trial Site Locations
Total: 1 location
1
University Hospital Augsburg, Department of Gynecology and Obstetrics
Augsburg, Bavaria, Germany, 86156
Actively Recruiting
Research Team
N
Nina Ditsch, Prof.
M
Melitta Köpke, Dr. med.
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
4
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