scholarly journals Thoracic migration of silicone gel after breast implant rupture: a case report and literature review

2021 ◽  
Author(s):  
Benedetta Fanelli ◽  
Marco Marcasciano ◽  
Stefano Lovero ◽  
Luca Codolini ◽  
Donato Casella ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Biological Membrane ◽  
Breast Implant ◽  
Granulomatous Inflammation ◽  
Breast Implants ◽  
Silicone Implants ◽  
Axillary Lymph ◽  
Implant Rupture ◽  
Silicone Gel ◽  
Breast Implant Rupture

AbstractNowadays silicone is a widespread material for medical devices. In particular, it is commonly used for implants manufacturing, for that patients undergoing breast augmentation or breast reconstruction after mastectomy. However, the use of silicone implants is not free from risks. Ruptures of silicone breast implants are uncommon, in general post-traumatic or iatrogenic, and usually related to implant’s wall weakness of unknown origin but probably due to biochemical reactions that cause wall rupture. As a consequence of a rupture, silicone gel from damaged implants may have a continuity migration to the chest wall, axillae, and upper extremities, resulting in granulomatous inflammation or siliconoma, or a lymphatic migration to axillary lymph nodes. In this regard, silicone thoracic migration is extremely rare, and nowadays a leakage is unlikely to happen with more modern cohesive silicone gel implants. Nevertheless, procedures such as thoracic surgery and thoracotomies may be responsible for accidental breast implant rupture, capsular discontinuity, and eventually intrathoracic silicone migration, especially when dealing with older generations of breast implants. We report a rare case of a 75-year-old woman presenting with pleural silicone effusion, 18 years after a right breast reconstruction for breast cancer, followed by right upper lobe resection for a lung carcinoma. A combination of muscular flap and DTI pre-pectoral breast reconstruction with biological membrane (ADM) has been used for treatment. Literature was reviewed for cases of breast implants free silicone localization in the chest cavity, focusing on previous surgeries, anamnestic relevances, and surgical management.Level of Evidence: Level V, risk/prognostic study.

scholarly journals BREAST IMPLANT RUPTURE AS A COMPLICATION OF HEART SURGERY IN MEDIAN STERNOTOMY

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
G. Nisi ◽  
M. Campana ◽  
L. Grimaldi ◽  
C. Brandi ◽  
R. Cuomo ◽  
...  
Keyword(s):  
Breast Reconstruction ◽  
Heart Surgery ◽  
Breast Implant ◽  
Open Heart Surgery ◽  
Median Sternotomy ◽  
Open Heart ◽  
Implant Rupture ◽  
Silicone Gel ◽  
Breast Implant Rupture

The authors report a case of a woman who underwent heart surgery in median sternotomy after breast reconstruction using prosthesis in 1984. After this open heart surgery in 2008, she developed an injury at right breast implant with intra and extra capsular silicone gel spread out the prosthesis.

scholarly journals Breast Implant-Associated Anaplastic Large Cell Lymphoma: A Case Report

2021 ◽  
Vol 4 (1) ◽  
pp. 28-34
Author(s):  
Kumkum Vadehra ◽  
Jennifer Cai ◽  
Rashmi Rekha Bhuyan ◽  
Ping Ji ◽  
Rose Venegas ◽  
...  
Keyword(s):  
Tumor Cells ◽  
Anaplastic Large Cell Lymphoma ◽  
Cell Lymphoma ◽  
Breast Implant ◽  
Fluid Collection ◽  
Breast Implants ◽  
Large Cell ◽  
Silicone Implants ◽  
Axillary Lymph ◽  
Large Cell Lymphoma

Breast implant-associated anaplastic large cell lymphoma (ALCL) is a recently recognized type of T-cell lymphoma that can develop following breast implants, with morphologic and immunophenotypic features indistinguishable from those of ALK-negative ALCL. Here we report a case of a 58-year-old woman with a history of subglandular silicone implants placed for bilateral breast augmentation 25 years ago, who presented with bilateral breast pain and was found to have bilateral Baker Grade III capsular contracture, and heterogenous fluid collection centered near the left third costochondral articulation, a suspicious left chest wall lesion, and left axillary lymphadenopathy on imaging. A left axillary lymph node core biopsy and an aspiration of the fluid were performed, and no malignant cells were identified. The patient underwent bilateral removal of breast implants and total capsulectomies. Microscopic examination of the capsule surrounding the left breast implant revealed large pleomorphic tumor cells in a fibrinous exudate. By immunohistochemistry, the tumor cells were found to be positive for CD3 (subset), CD4, CD7, CD30 (strong and uniform), and CD43, and negative for CD2, CD5, CD8, and ALK1, supporting the diagnosis of breast implant-associated ALCL. No lymphoma cells were identified in the right breast capsule, confirmed by CD30 stain. Breast implant-associated ALCL is a very rare disease that can develop many years after breast implant placement. Proper evaluation with breast imaging and pathologic workup is essential to confirm the diagnosis in suspected cases. Our case highlights that adequate sampling is important in the investigation of patients with suspected breast implant-associated ALCL.

Silicone Gel Breast Implant Rupture Rates: Research Issues

2002 ◽  
Vol 48 (1) ◽  
pp. 92-101 ◽  
Author(s):  
Ralph R. Cook ◽  
Steven J. Bowlin ◽  
James M. Curtis ◽  
Susan J. Hoshaw ◽  
Patti J. Klein ◽  
...  
Keyword(s):  
Breast Implant ◽  
Research Issues ◽  
Implant Rupture ◽  
Silicone Gel ◽  
Breast Implant Rupture

Shur-Clens: An Agent to Remove Silicone Gel After Breast Implant Rupture

2002 ◽  
Vol 48 (2) ◽  
pp. 148-153 ◽  
Author(s):  
George J. Bitar ◽  
Diem B. Nguyen ◽  
Laura K. Knox ◽  
Mohammed I. Dahman ◽  
Raymond F. Morgan ◽  
...  
Keyword(s):  
Breast Implant ◽  
Implant Rupture ◽  
Silicone Gel ◽  
Breast Implant Rupture

scholarly journals BellaGel breast implant: 6-Year results of a prospective cohort study

2020 ◽  
Vol 47 (3) ◽  
pp. 235-241
Author(s):  
Joon Seok Oh ◽  
Jae Hoon Jeong ◽  
Yujin Myung ◽  
Jeongseok Oh ◽  
Shin Hyeok Kang ◽  
...  
Keyword(s):  
Cohort Study ◽  
Clinical Study ◽  
Breast Reconstruction ◽  
Breast Implant ◽  
Capsular Contracture ◽  
Breast Implants ◽  
Asian Women ◽  
Safety And Efficacy ◽  
Implant Rupture ◽  
Cohesive Silicone Gel

Background This is the first clinical study conducted among Asian women using breast implants manufactured by an Asian company. Four-year data regarding the safety and efficacy of BellaGel breast implants have already been published, and we now report 6-year data.Methods This study was designed to take place over 10 years. It included 103 patients who underwent breast reconstruction or augmentation using BellaGel breast implants. The rates of implant rupture and capsular contracture were measured and analyzed to evaluate the effectiveness of the breast implant.Results At patients’ 6-year postoperative visits, the implant rupture and capsular contracture rates were 1.15% and 2.30%, respectively. The implant rupture rate was 3.77% among reconstruction cases and 0% among augmentation cases. The capsular contracture rate was 5.66% among reconstruction cases and 0.83% among augmentation cases.Conclusions The 6-year data from this planned 10-year study suggest that the BellaGel cohesive silicone gel-filled breast implant is an effective and safe medical device that can be used in breast reconstruction and augmentation.

Ability of Dual-Energy CT to Detect Silicone Gel Breast Implant Rupture and Nodal Silicone Spread

2019 ◽  
Vol 212 (4) ◽  
pp. 933-942 ◽  
Author(s):  
Katrina N. Glazebrook ◽  
Stefan Doerge ◽  
Shuai Leng ◽  
Tammy A. Drees ◽  
Katie N. Hunt ◽  
...  
Keyword(s):  
Breast Implant ◽  
Dual Energy ◽  
Dual Energy Ct ◽  
Implant Rupture ◽  
Silicone Gel ◽  
Breast Implant Rupture

Misdiagnosis of Breast Implant Rupture with Mammography

1998 ◽  
Vol 6 (1) ◽  
pp. 17-18
Author(s):  
Bert Van Brenk ◽  
James L Mahoney
Keyword(s):  
False Positive ◽  
Breast Implant ◽  
False Negative ◽  
Breast Implants ◽  
False Negative Result ◽  
Silicone Breast Implants ◽  
Implant Rupture ◽  
Breast Implant Rupture

B Van Brenk, JL Mahoney. Misdiagnosis of breast implant rupture with mammography. Can J Plast Surg 1998;6(1):17-18. Diagnosis of intracapsular ruptures of silicone breast implants with mammography can be difficult. A case is presented where mammography was used to diagnose an implant rupture with both a false positive and false negative result in the same patient. The mammographic features of breast implant ruptures are discussed.

Management of Capsular Contracture in Cases of Silicone Gel Breast Implant Rupture with Use of Pulse Lavage and Open Capsulotomy

2019 ◽  
Vol 43 (5) ◽  
pp. 1173-1185 ◽  
Author(s):  
Martin C. Lam ◽  
Gisela Walgenbach-Brünagel ◽  
Alexey Pryalukhin ◽  
Jens Vorhold ◽  
Thomas Pech ◽  
...  
Keyword(s):  
Breast Implant ◽  
Capsular Contracture ◽  
Implant Rupture ◽  
Silicone Gel ◽  
Pulse Lavage ◽  
Breast Implant Rupture
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