Rupture of an expander prosthesis mimics axillary cancer recurrence

T. Ismael, J. Kelly, P.J. Regan
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引用次数: 7

Abstract

Regional silicone gel migration from a ruptured breast implant has been reported at different locations including the upper extremity, chest wall muscles, axilla and back.

We report a patient who presented with an axillary mass that mimicked a regional recurrence 5 years after breast cancer reconstruction with a latissimus dorsi musculocutaneous flap and silicon gel expander-prosthesis. Surgical exploration revealed that the mass contained silicone gel around the port of the breast expander that had ruptured. The mass was confluent with an intracapsular silicone leak through a tract along the tube of the expander port.

扩张假体破裂模拟腋窝癌复发
据报道,局部硅胶从破裂的乳房植入物迁移到不同的位置,包括上肢、胸壁肌肉、腋窝和背部。我们报告了一位患者,在采用背阔肌皮瓣和硅胶扩张假体重建乳腺癌5年后,出现了一个模仿局部复发的腋窝肿块。手术探查发现,肿块中含有硅胶,围绕着破裂的乳房扩张器的端口。肿块与囊内硅酮泄漏汇合,通过扩张口的管道。
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