Bässler R
Z Plast Chir. 1979 Jul;3(2):65-87.
The pathohistological features of two breasts with implants coated with polyurethane are described.--The first case with an implant of 4 months shows a capsule with cellular collagen tissue and triangular and rectangular polyurethane particles with foreign body reactions. The second case, an autopsy of a female artist, revealed a mammary augmentation in both breasts in situ. The prothesis were surrounded by a regular capsule tissue without inflammation.--The different reactions in the connective tissue of the breasts surrounding the implants are described: Silicone implants by Cronin and polyurethane coated implants by Ashley. Complications of breast prothesis are discussed. The constrictive fibrosis is initiated by local chronic inflammation and foreign body reactions. The subcutaneous mastectomy with implantation of prothesis is performed today in cases of fibrocystic diseases with atypical epithelial proliferations, in cases with recurrend fibrocystic disease, with non-invasive ductal carcinoma and lobular carcinoma in situ. The subcutaneous mastectomy is therefore a prophylactic and a therapeutic method.
描述了两个植入涂有聚氨酯的乳房的病理组织学特征。——第一例植入物使用4个月，显示有一个含有细胞胶原组织的包膜，以及带有异物反应的三角形和矩形聚氨酯颗粒。第二例是对一位女艺术家的尸检，发现双侧乳房原位隆乳。假体被规则的包膜组织包围，无炎症。——描述了植入物周围乳房结缔组织中的不同反应：克罗宁的硅胶植入物和阿什利的聚氨酯涂层植入物。讨论了乳房假体的并发症。缩窄性纤维化由局部慢性炎症和异物反应引发。如今，在患有非典型上皮增生的纤维囊性疾病、复发性纤维囊性疾病、非浸润性导管癌和原位小叶癌的病例中，会进行皮下乳房切除术并植入假体。因此，皮下乳房切除术既是一种预防方法，也是一种治疗方法。
