Fleury Eduardo de Faria Castro
Instituto Brasileiro de Controle do Câncer - IBCC, Rua Maestro Chiaffarelli, 409, Jardim Paulista, São Paulo/SP 01432-030, Brasil.
Radiol Case Rep. 2020 Aug 1;15(10):1736-1742. doi: 10.1016/j.radcr.2020.07.017. eCollection 2020 Oct.
We recently described silicone induced granuloma of breast implant capsule (SIGBIC) as an implant capsule illness related to intact silicone breast implants. The precursor to SIGBIC development is gel bleeding/shedding from the implant shell/interior content. Currently, although the literature widely discussed the pathogenesis of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), the trigger point for its development is still a black-box. In this case report, we report a 46-year-old woman with SIGBIC diagnosis in her right breast and BIA-ALCL in her left breast, diagnosed with ultrasound and breast magnetic resonance. Microscopy confirmed silicone bleeding from the implant surface/ content. The imaging findings reported that SIGBIC and BIA-ALCL were similar; however, BIA-ALCL had an intracapsular collection.
我们最近将硅胶诱导的乳房植入物包膜肉芽肿（SIGBIC）描述为一种与完整硅胶乳房植入物相关的植入物包膜疾病。SIGBIC发生的先兆是凝胶从植入物外壳/内部填充物中渗出/脱落。目前，尽管文献广泛讨论了乳房植入物相关间变性大细胞淋巴瘤（BIA-ALCL）的发病机制，但其发病的触发点仍然是个未知数。在本病例报告中，我们报告了一名46岁女性，其右乳诊断为SIGBIC，左乳诊断为BIA-ALCL，通过超声和乳腺磁共振成像确诊。显微镜检查证实硅胶从植入物表面/填充物中渗出。影像学检查结果显示SIGBIC和BIA-ALCL相似；然而，BIA-ALCL有囊内积液。
