Alagaratnam T T, Ng W F
Department of Surgery, Queen Mary Hospital, Hong Kong.
Aust N Z J Surg. 1996 Mar;66(3):138-40. doi: 10.1111/j.1445-2197.1996.tb01141.x.
The injection of liquid paraffin wax was a form of breast augmentation practised in Hong Kong 30-40 years ago. Patients may present many years later with complications of this treatment.
The records of 43 patients diagnosed with paraffinomas of the breast at a teaching hospital in Hong Kong were reviewed. These patients had received paraffin injections 3-41 years (median 17) previously.
Patients presented with hard masses in the breast 4-18 cm (median 17) diameter. Ulceration or infection occurred in 10 patients. Mammography revealed a honeycomb appearance in the affected breast. Treatment included biopsy only (7), excision of masses (3) and total mastectomy (30, bilateral in 27). Histology demonstrated hyalinized and densely sclerotic fibrous tissue with cystic spaces of various sizes.
Awareness of this condition facilitates the differentiation from tuberculosis and carcinoma of the breast which often present late in this population of patients. Adequate treatment usually require total mastectomy.
注射液体石蜡曾是三四十年前在香港施行的一种隆胸方式。患者可能在多年后出现该治疗的并发症。
回顾了香港一家教学医院43例被诊断为乳房石蜡瘤患者的病历。这些患者在3至41年前（中位时间17年）接受过石蜡注射。
患者乳房出现直径4至18厘米（中位直径17厘米）的硬块。10例患者发生溃疡或感染。乳房X光检查显示患侧乳房呈蜂窝状外观。治疗方式包括仅活检（7例）、肿块切除（3例）和全乳房切除术（30例，其中27例为双侧）。组织学检查显示为玻璃样变且致密硬化的纤维组织，并伴有大小不一的囊腔。
认识到这种情况有助于与在这类患者中常较晚出现的乳腺结核和乳腺癌相鉴别。充分的治疗通常需要全乳房切除术。
