Department of Plastic and Reconstructive Surgery.
Department of Hospital Pathology, Seoul St. Mary's Hospital, The Catholic University of Korea, College of Medicine, Seoul, Korea.
Medicine (Baltimore). 2021 Mar 12;100(10):e24974. doi: 10.1097/MD.0000000000024974.
Custom-made implant is an accepted treatment option for treatment of chest deformity in Poland syndrome. Unlike the raised concerns and awareness for the long-term consequences of breast implants, the long-term complications of customized implants for special purposes like Poland syndrome has not been reported in the literature.
A 44-year-old male with Poland syndrome presented to our institution complaining of a large bulge and fluctuation on the right chest wall. This occurred after 14 years from the initial implant surgery for correction of chest wall deformity. Upon failure of resolution by multiple aspirations, workup was carried out under suspicion of implant associated malignancy.
Total Capsulectomy and implant removal was done.
Histology revealed chronic inflammation with fibrosis. Implant-associated malignancy was not found. He is being followed up with no signs of recurrence.
For rare cases of implant insertion such as Poland syndrome, awareness of delayed complications and workups based on suspicion of implant-associated malignancy is needed. Surgeon awareness and patient education is required.
定制植入物是波兰综合征患者胸部畸形治疗的一种可接受的治疗选择。与对乳房植入物长期后果的担忧和认识不同，波兰综合征等特殊用途定制植入物的长期并发症尚未在文献中报道。
一名 44 岁男性，患有波兰综合征，因右侧胸壁出现大肿块和波动感就诊于我院。这是在最初的植入物手术矫正胸壁畸形 14 年后发生的。经过多次抽吸治疗失败后，怀疑与植入物相关的恶性肿瘤，进行了进一步检查。
行全包膜切除术和植入物取出术。
组织学显示慢性炎症伴纤维化。未发现与植入物相关的恶性肿瘤。目前正在随访中，未见复发迹象。
对于波兰综合征等罕见的植入物插入病例，需要了解延迟性并发症，并根据对植入物相关恶性肿瘤的怀疑进行检查。需要提高外科医生的认识和对患者的教育。
