Intraductal Extension of Silicone from a Ruptured Breast Implant

Aj, Leibman; Mb, Kossoff; Bd, Kruse

doi:10.1097/00006534-199203000-00027

Cited by 18 publications

(9 citation statements)

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“…Extracapsular rupture (21%) occurs when there is the interruption both of the Silastic membrane and of the fibrous capsule, with the escape of free silicone gel through the fibrous capsule and overflowing into the breast tissue, forming siliconomas [22][23][24][25] or migrating to the axillary lymph nodes. Free silicone in the breast seems not to increase the incidence of cancer.…”

Section: Annals Of Plastic Surgery • Volume 56 Number 3 March 2006mentioning

confidence: 99%

Ultrasonographic Appearance of Breast Implant Complications

Cilotti¹,

Marini²,

Iacconi

et al. 2006

Annals of Plastic Surgery

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Section: Annals Of Plastic Surgery • Volume 56 Number 3 March 2006mentioning

confidence: 99%

Ultrasonographic Appearance of Breast Implant Complications

Cilotti¹,

Marini²,

Iacconi

et al. 2006

Annals of Plastic Surgery

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“…1 Free silicone from ruptured implants has in rare cases been reported to spread to distant body regions, giving rise to symptoms. [2][3][4][5][6] More commonly, however, implant rupture is unnoticed by the patient because the free silicone is kept in place by the surrounding fibrous capsule, which forms after surgery as a natural foreign-body reaction, and often neither form nor feeling of the breast changes. 1,[7][8][9] Determination of implant rupture therefore mainly depends on the use of imaging methods or surgery.…”

mentioning

confidence: 99%

The Diagnosis of Silicone Breast-Implant Rupture

Hölmich¹,

Fryzek²,

Kjøller³

et al. 2005

Annals of Plastic Surgery

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The objective was to evaluate the usefulness of clinical examination in the evaluation of breast-implant integrity, using the diagnosis at magnetic resonance imaging (MRI) as the "gold standard." Fifty-five women with 109 implants underwent a breast examination either just before or shortly after an MRI examination. Twenty-four of 109 implants were clinically diagnosed with possible rupture or rupture. Eighteen of the 24 implants were ruptured according to the MRI examination (75%). Eighty-five implants were clinically classified as intact, and 43 of these were actually ruptured at MRI (51%). The sensitivity of the clinical examination for diagnosing rupture was thus 30% and the specificity 88%. The positive predictive value of a clinical diagnosis of rupture was 75%, and the negative predictive value was 49%. In this study, we found that when a clinical examination is used as the sole diagnostic tool to identify implant rupture, neither the sensitivity nor the specificity is acceptable.

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“…Another unusual location is the intraductal extension of silicone detectable upon mammography. One case has been described with imaging features of silicone within the breast tissue and ducts that necessitated subcutaneous mastectomy as definitive treatment [11]. In our case, silicone penetrated through the subcutaneous tissue and skin via a cutaneous fistula.…”

Section: Discussionmentioning

confidence: 78%

“…In the past, a closed capsulotomy used to be a common procedure for the treatment of capsular contracture. Silicone rupture is a known complication of closed capsulotomy [11]. Increased pressure during this procedure could have been one reason for the development of unphysiological ducts within the tissue.…”

Section: Discussionmentioning

confidence: 99%

A Rare Complication Following Breast Implant Surgery: Capsular Contracture with a Cutaneous Silicone Fistula after Breast Reconstruction with Silicone Gel Implants

Walgenbach

Kuhl²,

Rudlowski

et al. 2011

Breast Care

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Background: We report the case of a 74-year-old female patient who presented at the Breast Care Centre with watery discharge from a fistula in the inframammary fold of the left breast. Case Report: The patient initially presented with watery discharge coming from the fistula, which later took on a more viscous consistency. She reported mild discomfort as well as mild erythema. Clinical examination and diagnostic approaches including magnetic resonance imaging (MRI) revealed a cutaneous silicone fistula as a rare complication following breast implant reconstruction. The condition was treated with excision of the fistula and bilateral implant removal. Conclusions: This case report documents a rare complication following breast reconstruction with implants, and is to our knowledge the first described MRI-detected cutaneous silicone fistula.

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Intraductal Extension of Silicone from a Ruptured Breast Implant

Cited by 18 publications

References 0 publications

Ultrasonographic Appearance of Breast Implant Complications

Ultrasonographic Appearance of Breast Implant Complications

The Diagnosis of Silicone Breast-Implant Rupture

A Rare Complication Following Breast Implant Surgery: Capsular Contracture with a Cutaneous Silicone Fistula after Breast Reconstruction with Silicone Gel Implants

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