Prasetyono Theddeus Octavianus Hari, Sadikin Patricia Marcellina
Department of Surgery, Division of Plastic Surgery, Faculty of Medicine, Cipto Mangunkusumo Hospital, University of Indonesia, Jakarta, Indonesia.
Indian J Plast Surg. 2015 Sep-Dec;48(3):317-20. doi: 10.4103/0970-0358.173139.
Even though Silicone injection for breast augmentation has been related to disastrous long-term effects and complications, some patients do not develop significant symptoms at all (asymptomatic). Unfortunately, the management of asymptomatic Silicone-injected breast is still unclear and has never been reported exclusively. We present two cases of asymptomatic patients with a history of liquid Silicone injections who refused to have a mastectomy. They were concerned with the breast ptosis and chose to undergo reduction mammoplasty to improve the appearance of the breasts. Magnetic resonance imaging may be useful as an additional screening tool to confirm the diagnosis and exclude the presence of malignancy in breasts with injected Silicone. We believe that breast reduction may be the alternative option for women with a history of liquid Silicone injection who have no symptoms but desire to preserve their breasts and improve their aesthetics.
尽管注射硅胶隆胸已被证实会带来灾难性的长期影响和并发症，但仍有一些患者根本没有出现明显症状（无症状）。不幸的是，对于无症状的注射硅胶乳房的处理方式仍不明确，且从未有专门报道。我们呈现两例有液体硅胶注射史的无症状患者，她们拒绝接受乳房切除术。她们担心乳房下垂，选择接受乳房缩小术以改善乳房外观。磁共振成像可能作为一种辅助筛查工具，有助于确诊并排除注射硅胶乳房中恶性肿瘤的存在。我们认为，对于有液体硅胶注射史且无症状但希望保留乳房并改善美观的女性，乳房缩小术可能是一种替代选择。
