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隆胸术后发生乳房假体囊外破裂伴硅胶迁移及淋巴结病——病例报告

Extracapsular breast implant rupture with silicone migration and lymphadenopathy following a breast augmentation - A case report.

作者信息

Firmani Guido, Rosato Luca, Giannini Giulia, Navach Valeria

机构信息

Plastic Surgery Unit, Local Health Unit of Piacenza, Piacenza, Italy.

出版信息

Case Reports Plast Surg Hand Surg. 2025 Apr 24;12(1):2497265. doi: 10.1080/23320885.2025.2497265. eCollection 2025.

DOI:10.1080/23320885.2025.2497265
PMID:40290616
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12024513/
Abstract

Silicone lymphadenopathy and granuloma formation can result from breast implants. A 71-year-old presented with implant rupture 30 years after a breast augmentation, causing left-sided silicone lymphadenopathy and extensive migration to the breast parenchyma and skin. Management included a mastectomy, lymph node resection, implant removal with complete intact capsulectomy, and latissimus-dorsi-based reconstruction.

摘要

硅胶乳房植入物可能导致硅胶淋巴结病和肉芽肿形成。一名71岁女性在隆胸30年后出现植入物破裂,导致左侧硅胶淋巴结病,并广泛迁移至乳腺实质和皮肤。治疗措施包括乳房切除术、淋巴结切除术、完整切除植入物及包膜,并采用背阔肌皮瓣进行重建。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a92/12024513/1a2eeb9f4cde/ICRP_A_2497265_F0002_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a92/12024513/3e8a2ba35513/ICRP_A_2497265_F0001_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a92/12024513/1a2eeb9f4cde/ICRP_A_2497265_F0002_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a92/12024513/3e8a2ba35513/ICRP_A_2497265_F0001_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a92/12024513/1a2eeb9f4cde/ICRP_A_2497265_F0002_C.jpg

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本文引用的文献

1
Silicone Leakage from Breast Implants Is Determined by Silicone Cohesiveness: A Histologic Study of 493 Patients.硅酮从乳房植入物泄漏取决于硅酮内聚性:493 例患者的组织学研究。
Plast Reconstr Surg. 2024 Dec 1;154(6):1159-1171. doi: 10.1097/PRS.0000000000011395. Epub 2024 Mar 12.
2
Silicone deposition and adverse pulmonary events secondary to breast implant rupture.硅胶沉积及乳房植入物破裂继发的不良肺部事件。
Radiol Case Rep. 2024 Oct 23;20(1):234-238. doi: 10.1016/j.radcr.2024.09.127. eCollection 2025 Jan.
3
Breast Implant Rupture Surveillance Practices among Plastic Surgeons in Publicly Funded Healthcare Systems.
公共资助医疗系统中整形外科医生对乳房植入物破裂的监测做法。
Aesthetic Plast Surg. 2025 Feb;49(3):741-748. doi: 10.1007/s00266-024-04345-y. Epub 2024 Sep 12.
4
Breast implant iatrogenics: challenging the safety narrative.乳房植入物医源性问题:挑战安全性说法。
Front Glob Womens Health. 2024 May 17;5:1359106. doi: 10.3389/fgwh.2024.1359106. eCollection 2024.
5
A case of extracapsular silicone gel implant rupture with contralateral gel migration.一例发生囊外硅胶植入物破裂并伴有对侧凝胶迁移的病例。
Case Reports Plast Surg Hand Surg. 2024 May 23;11(1):2357121. doi: 10.1080/23320885.2024.2357121. eCollection 2024.
6
Silicone Lymphadenopathy Following Augmentation Mammoplasty With Silicone Implants.硅酮隆乳术后硅酮淋巴结病。
Aesthet Surg J. 2024 Oct 15;44(11):1167-1175. doi: 10.1093/asj/sjae113.
7
Prevalence, clinical characteristics, and management of silicone lymphadenopathy: A systematic review of the literature.硅酮淋巴结病的患病率、临床特征和治疗:文献系统综述。
J Plast Reconstr Aesthet Surg. 2024 Mar;90:76-87. doi: 10.1016/j.bjps.2024.01.011. Epub 2024 Feb 1.
8
Breast Implants and the Risk of Squamous Cell Carcinoma of the Breast: A Systematic Literature Review and Epidemiologic Study.乳房植入物与乳腺癌风险的系统性文献回顾和流行病学研究。
Aesthet Surg J. 2024 Jun 14;44(7):757-768. doi: 10.1093/asj/sjae023.
9
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JPRAS Open. 2023 Oct 5;38:129-133. doi: 10.1016/j.jpra.2023.10.004. eCollection 2023 Dec.
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Epidemiology of Breast Implant-Associated Anaplastic Large Cell Lymphoma in the United States: A Systematic Review.美国乳房植入物相关间变性大细胞淋巴瘤的流行病学:一项系统综述。
Aesthet Surg J. 2023 Dec 14;44(1):NP32-NP40. doi: 10.1093/asj/sjad279.