Ko C, Ahn C Y, Markowitz B L
Department of Surgery, University of California, Los Angeles, USA.
Ann Plast Surg. 1995 Feb;34(2):176-9. doi: 10.1097/00000637-199502000-00011.
Although the use of injected liquid silicone for breast augmentation has all but ceased since its widespread use in the 1960s, patients with injected silicone are still seen with a multitude of symptoms. Silicone mastitis is a well-documented phenomenon; however, there has been a paucity of information regarding cancer detection in this group of patients. We report 2 patients who presented with chronic mastitis but on further workup were found to have breast cancer. In both patients, early cancer detection was adversely affected by the presence of free liquid silicone. In view of this and other similar case reports, we advise that simple mastectomy be recommended to those patients with breasts inspissated with liquid silicone who not only have suspicious masses but present with recurrent mastitis or a family history of breast cancer.
尽管自20世纪60年代广泛使用以来，注射液态硅胶进行隆胸的情况几乎已停止，但仍可见到接受过硅胶注射的患者出现多种症状。硅胶性乳腺炎是一种有充分文献记载的现象；然而，关于这组患者癌症检测的信息却很少。我们报告2例表现为慢性乳腺炎但进一步检查发现患有乳腺癌的患者。在这两名患者中，游离液态硅胶的存在对早期癌症检测产生了不利影响。鉴于此及其他类似病例报告，我们建议，对于乳房内充满液态硅胶、不仅有可疑肿块而且伴有复发性乳腺炎或有乳腺癌家族史的患者，建议行单纯乳房切除术。
