Department of General Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, 114, Taiwan.
Division of Plastic and Reconstructive Surgery, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, 114, Taiwan.
BMC Geriatr. 2023 Sep 23;23(1):589. doi: 10.1186/s12877-023-04293-3.
Implant rupture is one of the complications of breast augmentation surgery. The rupture of silicone implants is often insidious, potentially causing problems at any time. This is a case report of the rupture of 145-cc breast implants manufactured by Dow Corning Corporation and their removal at 40 years after augmentation.
A 70-year-old female patient was admitted for the removal of a lump in the upper and inner quadrants of the right breast. After a detailed examination, a rupture of the bilateral breast implants was diagnosed. Explantation without replacement was performed; the entire procedure proceeded smoothly. Immunohistochemical staining revealed siliconoma with lymphoid hyperplasia and calcification in the bilateral breasts with no signs of malignancy.
Silicone breast augmentation is one of the most popular aesthetic surgical procedures worldwide. Therefore, it is important to educate patients on the need for close monitoring of their implants after augmentation through magnetic resonance imaging or ultrasound to facilitate early detection of any changes before a rupture occurs. Early detection of the implant rupture, in turn, will facilitate early and effective management.
植入物破裂是隆胸手术的并发症之一。硅酮植入物的破裂通常是隐匿的，随时都可能引发问题。这是一例由道康宁公司生产的 145 毫升乳房植入物破裂并在隆胸 40 年后取出的病例报告。
一名 70 岁女性患者因右乳房上内象限肿块入院。经过详细检查，诊断为双侧乳房植入物破裂。行取出术，未行置换术；整个过程进行顺利。免疫组化染色显示双侧乳房硅瘤伴淋巴组织增生和钙化，无恶性征象。
硅胶乳房隆乳术是全球最受欢迎的美容手术之一。因此，通过磁共振成像或超声检查，对患者进行隆乳后密切监测植入物的必要性进行教育非常重要，以便在破裂发生前及早发现任何变化。反过来，早期发现植入物破裂将有助于进行早期和有效的管理。
