Bingham H G, Copeland E M, Hackett R, Caffee H H
Division of Plastic and Reconstructive Surgery, University of Florida Medical Center, Gainesville 32610.
Ann Plast Surg. 1988 Mar;20(3):236-7. doi: 10.1097/00000637-198803000-00007.
The patient described in this article is a 45-year-old woman who developed an infiltrating ductal carcinoma in her left breast next to a Silastic mammary implant that had been used for augmentation some 13 years previously. She underwent a modified radical mastectomy and removal of the silicone prosthesis with an axillary lymph node dissection. Twenty-six axillary lymph nodes were negative for metastatic disease. The 165-gram silicone gel prosthesis was surrounded by a thin fibrous capsule with an attached 1-cm carcinoma that did not invade the fibrous capsule. It appeared that the capsule presented a barrier to the invading ductal carcinoma. The fibrous capsule surrounding the Silastic implant may have altered the spread of the breast cancer without being related to its genesis.
本文所述患者为一名45岁女性，其在约13年前用于隆胸的硅橡胶乳房植入物旁的左乳发生了浸润性导管癌。她接受了改良根治性乳房切除术、硅胶假体取出术及腋窝淋巴结清扫术。26个腋窝淋巴结均未发现转移病灶。165克硅胶凝胶假体被一层薄纤维包膜包裹，包膜上附着一个1厘米的癌灶，癌灶未侵犯纤维包膜。看来该包膜对浸润性导管癌起到了屏障作用。硅橡胶植入物周围的纤维包膜可能改变了乳腺癌的扩散，但其与乳腺癌的发生无关。
