Soliman Steven B
Division of Musculoskeletal Radiology, Department of Radiology, University of Michigan, 1500 E. Medical Center Dr. # TC2910, Ann Arbor, MI 48109-5326, USA.
Radiol Case Rep. 2023 Jan 5;18(3):984-990. doi: 10.1016/j.radcr.2022.12.049. eCollection 2023 Mar.
The illicit use of fillers has significantly increased, especially among transgender women (transwomen) attempting to fulfill unmet gender affirmation needs. We present a case of liquid silicone filler migration to the distal lateral thigh, multiple years following an illicit gluteal augmentation, and mimicking a neoplasm. Initial clinical and imaging findings were inconclusive necessitating advanced imaging, an orthopedic oncology surgical consultation, and finally an ultrasound-guided biopsy. Knowledge of the increasing use of fillers, their complications, and imaging findings is critical as these patients commonly choose not to disclose this history. A radiologist suggesting this diagnosis may assist the clinician, who is often unaware of this history which could help prevent unnecessary imaging and invasive procedures.
填充剂的非法使用显著增加，尤其是在试图满足未得到满足的性别肯定需求的跨性别女性（变性女性）中。我们报告一例液体硅胶填充剂迁移至大腿外侧远端的病例，该填充剂是多年前非法用于臀部增大术后，且类似肿瘤。最初的临床和影像学检查结果不明确，需要进行高级影像学检查、骨科肿瘤外科会诊，最后进行超声引导下活检。了解填充剂使用的增加情况、其并发症及影像学表现至关重要，因为这些患者通常选择不透露这段病史。放射科医生提出这一诊断可能会帮助临床医生，因为临床医生往往不知道这段病史，这有助于避免不必要的影像学检查和侵入性操作。
