Breast implants, common complications, and concurrent breast disease.

Steinbach, Barbara G.; Hardt, Nancy S.; Abbitt, Patricia L.; Lanier, Linda; Caffee, H. Hollis

doi:10.1148/radiographics.13.1.8426939

Cited by 57 publications

(30 citation statements)

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“…Although there are several previous reports of the radiological findings of breast paraffinomas (1,3,4,8), to our knowledge, the imaging features of paraffinomas in the cervicofacial area have not been previously reported. The purpose of this study was to describe the computed tomography (CT) findings of paraffinomas in the cervicofacial area.…”

mentioning

confidence: 84%

“…araffinoma, defined as a granulomatous foreign body reaction, is a well-recognized late complication of paraffin injection (1)(2)(3)(4)(5)(6)(7)(8).…”

mentioning

confidence: 99%

“…Most patients are initially asymptomatic after injection of paraffin. Gradually, however, various complications including cellulitis, tissue necrosis, ulceration with sinus tracts, and foreign body granulomatous reaction develop (3,4).…”

mentioning

confidence: 99%

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CT features of foreign body granulomas after cosmetic paraffin injection in the cervicofacial area

Yoon²,

Chang³

et al. 2009

Diagn Interv Radiol

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mentioning

confidence: 84%

“…araffinoma, defined as a granulomatous foreign body reaction, is a well-recognized late complication of paraffin injection (1)(2)(3)(4)(5)(6)(7)(8).…”

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confidence: 99%

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CT features of foreign body granulomas after cosmetic paraffin injection in the cervicofacial area

Yoon²,

Chang³

et al. 2009

Diagn Interv Radiol

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“…SG was first described in 1964 by Winer et al (2) after an injection of free silicone used for breast augmentation, SG which occurred after ruptured implants were first described in the 1980s. The use of implants for breast augmentation has been increasing in recent years.…”

Section: Discussionmentioning

confidence: 99%

Silicone Granuloma Associated with Pectoral Muscle Involvement after Ruptured Breast Implant: a Novel case report

İkizceli¹,

Gülşen

Akın

2018

Eur J Breast Health

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IntroductionSilicone has rapidly become one of the most commonly used prosthetic for breast implants over the last 30 years. Therefore, we have been witnessing more silicone-related disease. Silicone implant rupture, one of the most common silicone-related diseases, occurs more frequently with the implant's age. After implant rupture, silicone leakage can remain within the breast parenchyma or spread to regional lymph nodes first (1). Case studies report silicone migration to distal parts of the body, such as the arm, subcutaneous soft tissues of the abdominal wall and the inguinal area and even to the liver, where silicone causes foreign body inflammation and sometimes mimics malignancy (1). Silicone granuloma associated with pectoral muscle involvement has not been published before.In this study, an unusual case of a patient who was previously operated on a ruptured breast implant following silicone granuloma associated with pectoral muscle involvement is reported, and all imaging modality pattern are shown. Case PresentationA 72-year-old woman was referred to breast radiology department with a pain and hardness in her left breast. The patient had undergone bilateral subglandular breast augmentation surgery when she was 52-year-old. Ten years later, she had silicone implant rupture of left breast, required breast revision surgery and the breast implant and free silicone is removed without replacement. Her right breast was normal. After 10 years of ruptured silicone implant, she complained of pain, hardness, and swelling on her left breast. First of all, to determination of breast cancer and evaluation of the breast parenchyma changes after open removal surgery, a mammography (MG) and breast ultrasonography (US) were performed (IMS Giotto MD digital radiography and Tomosynthesis, Bologna, Italy). The MG showed; diffuse, multiple high-density nodules in the left breast, some with a thin rim of calcifications (Figure 1) Eur J Breast Health 2018; 14: 54-57 DOI: 10.5152/ejbh.2017.3499 54 ABSTRACTIn this study, an unusual case of a patient who was previously operated on a ruptured breast implant following silicone granuloma associated with pectoral muscle involvement is reported. A 72-year-old woman had undergone breast augmentation surgery when she was 52-year-old and silicone implant rupture 10 years later. After 10 years of ruptured silicone implant, her mammography showed diffuse, multiple high-density nodules in the left breast. The pectoral muscle was significantly hypertrophic. The magnetic resonance imaging showed that the pectoral muscle was quite hypertrophic and had heterogeneous enhancement. In clinical consideration and the presence of the suspected malignancy, a biopsy was performed. The histological analysis identified pectoral muscle and breast tissue, which had been mainly replaced by giant cells, along with an apparent foreign body response. Silicone granuloma can present itself as a soft tissue mass. Malignancy is the most important differential diagnosis. Meticulous follow-up is recommended ...

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“…1 Although the U.S. Food and Drug Administration never approved liquid silicone injections, the procedure was performed illicitly by physicians and nonphysicians in the United States, Mexico, and Asia. 1,2 In patients who received silicone injection, various silicone-induced mastopathies, including local granulomatous reaction, silicone-induced mastitis, foreign body reaction, fibrosis, silicone migration, and autoimmune reaction, were common. [1][2][3][4][5] Sonographic evaluation of the breasts in patients who have undergone breast augmentation with liquid silicone injections is limited because of the strong acoustic shadowing from the resulting silicone granulomas.…”

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Sonographic features with histologic correlation in two cases of palpable breast cancer after breast augmentation by liquid silicone injection

Cheung

Lee

et al. 2002

J of Clinical Ultrasound

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Sonography is rarely used to evaluate the breasts in patients who have undergone liquid silicone injections for breast augmentation because strong acoustic shadowing from the resulting silicone granulomas hampers the examination. We report on 2 patients who underwent silicone injection 18 and 20 years earlier and in whom breast cancers (1 invasive ductal carcinoma and 1 carcinosarcoma) were diagnosed by sonographically guided core-needle biopsy. On sonograms, both cancers had a peripheral hypoechoic rim surrounding an echogenic center. The echogenic center corresponded histologically to a silicone granuloma in 1 patient and to a large area of necrosis in the other; the hypoechoic rims corresponded to areas of cancer in both patients.

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Breast implants, common complications, and concurrent breast disease.

Cited by 57 publications

References 0 publications

CT features of foreign body granulomas after cosmetic paraffin injection in the cervicofacial area

CT features of foreign body granulomas after cosmetic paraffin injection in the cervicofacial area

Silicone Granuloma Associated with Pectoral Muscle Involvement after Ruptured Breast Implant: a Novel case report

Sonographic features with histologic correlation in two cases of palpable breast cancer after breast augmentation by liquid silicone injection

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