Thoracic Outlet Syndrome Following Breast Implant Rupture

We present a patient with bilateral breast implant rupture who developed severe locoregional silicone granulomatous lymphadenopathy. Poly Implant Prothese silicone implants had been used for bilateral breast augmentation 5 years prior. Extracapsular implant rupture and bilateral axillary lymphadenop...

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Published inPlastic and reconstructive surgery. Global open Vol. 3; no. 3; p. e331
Main Authors Mistry, Raakhi, Caplash, Yugesh, Giri, Pratyush, Kearney, Daniel, Wagstaff, Marcus
Format Journal Article
LanguageEnglish
Published United States American Society of Plastic Surgeons 01.03.2015
Wolters Kluwer Health
Wolters Kluwer
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Case Reports
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Summary:We present a patient with bilateral breast implant rupture who developed severe locoregional silicone granulomatous lymphadenopathy. Poly Implant Prothese silicone implants had been used for bilateral breast augmentation 5 years prior. Extracapsular implant rupture and bilateral axillary lymphadenopathy indicated explantation, capsulectomy, and selective lymph node excision. Histology demonstrated silicone lymphadenopathy with no evidence of malignancy. Over the subsequent 12 months, she developed progressive locoregional lymphadenopathy involving bilateral cervical, axillary, and internal mammary groups, resulting in bilateral thoracic outlet syndrome. We report the unusual presentation, progression, and the ultimate surgical management of this patient.
ISSN:2169-7574
2169-7574
DOI:10.1097/GOX.0000000000000295