Ismael T, Kelly J, Regan P J
Plastic Surgery Department, University College Hospital, Newcastle Road, Galway, Ireland.
Br J Plast Surg. 2005 Oct;58(7):1027-8. doi: 10.1016/j.bjps.2005.04.058.
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.
据报道，破裂的乳房植入物中的局部硅胶凝胶会迁移至不同部位，包括上肢、胸壁肌肉、腋窝和背部。我们报告了一名患者，该患者在采用背阔肌肌皮瓣和硅胶扩张器-假体进行乳腺癌重建5年后，出现了一个类似局部复发的腋窝肿块。手术探查发现，肿块内含有围绕已破裂的乳房扩张器端口的硅胶凝胶。该肿块通过扩张器端口导管周围的通道与囊内硅胶泄漏相连。
