Regional silicone-gel migration in patients with ruptured implants.
case_report · Level V
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- Record sourced from PubMed, PMID 7979055.
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Abstract
The current literature is reviewed, and four clinical cases of silicone-gel migration are reported. All 4 patients reported here had histories of closed capsulotomy, and all were symptomatic. Preoperative magnetic resonance imaging demonstrated the anatomical locations of silicone-gel migration into the chest wall muscles, axillae, and upper extremity. Intraoperative and pathological findings correlated with the presence of silicone-gel migration and granulomas in various anatomical regions. With the recent advances in diagnostic breast imaging of silicone-implant patients, intracapsular rupture can be identified. Implant removal may be indicated for intracapsular ruptures to prevent silicone-gel migration into parenchyma, chest wall muscles, axillae, and the upper extremity.
Medical subject headings
- Breast Implants
- Foreign-Body Migration
- Granuloma, Foreign-Body
- Silicones