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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.

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/9a92/12024513/3e8a2ba35513/ICRP_A_2497265_F0001_B.jpg

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