Ahn C Y, Shaw W W
Division of Plastic and Reconstructive Surgery, University of California, Los Angeles 90024-1665.
Ann Plast Surg. 1994 Aug;33(2):201-8. doi: 10.1097/00000637-199408000-00014.
The current literature is reviewed, and four clinical cases of silicone-gel migration are reported. All 4 patients reported here had histories of closed capsulotomy, and all were symptomatic. Preoperative magnetic resonance imaging demonstrated the anatomical locations of silicone-gel migration into the chest wall muscles, axillae, and upper extremity. Intraoperative and pathological findings correlated with the presence of silicone-gel migration and granulomas in various anatomical regions. With the recent advances in diagnostic breast imaging of silicone-implant patients, intracapsular rupture can be identified. Implant removal may be indicated for intracapsular ruptures to prevent silicone-gel migration into parenchyma, chest wall muscles, axillae, and the upper extremity.
本文回顾了当前的文献，并报告了4例硅胶凝胶迁移的临床病例。这里报告的所有4例患者都有闭合性囊切开术病史，且均有症状。术前磁共振成像显示了硅胶凝胶迁移至胸壁肌肉、腋窝和上肢的解剖位置。术中及病理结果与不同解剖区域硅胶凝胶迁移和肉芽肿的存在相关。随着近期硅胶植入患者诊断性乳腺成像技术的进展，囊内破裂可以被识别。对于囊内破裂可能需要进行植入物取出，以防止硅胶凝胶迁移至实质、胸壁肌肉、腋窝和上肢。
