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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
6
|
| pubmed:dateCreated |
1996-9-26
|
| pubmed:abstractText |
Migration of silicone beyond the breast implant capsule may occur as a result of silicone bleed, leak, or rupture, and it may indicate failure of implant envelope integrity. We report a series of 23 patients with silicone implants who had axillary lymph node biopsies for palpable masses. Group 1 (n = 15) had biopsies performed an average of 6 years following aesthetic augmentation, and Group 2 (n = 8) had biopsies performed an average of 5 years after mastectomy reconstruction. All biopsies demonstrated foreign body reaction consistent with silicone migration. Five patients in Group 1 and two in Group 2 also had breast cancer detected by the axillary biopsy. Evaluation of the axilla utilized a combination of one or more techniques, including mammography, ultrasonography, magnetic resonance imaging, and fine-needle aspiration. We conclude that (1) routine evaluation of the axilla is mandatory in all patients with silicone breast implants; (2) an algorithmic approach in diagnosing axillary masses may be helpful, especially in augmentation patients; and (3) axillary masses detected by clinical examination or other means must be biopsied, even in the face of negative screening studies, because breast cancer may be coincidental with a silicone granuloma.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:chemical | |
| pubmed:status |
MEDLINE
|
| pubmed:month |
Dec
|
| pubmed:issn |
0148-7043
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
35
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
580-4
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:8748338-Adult,
pubmed-meshheading:8748338-Aged,
pubmed-meshheading:8748338-Axilla,
pubmed-meshheading:8748338-Biopsy, Needle,
pubmed-meshheading:8748338-Breast Implants,
pubmed-meshheading:8748338-Female,
pubmed-meshheading:8748338-Follow-Up Studies,
pubmed-meshheading:8748338-Foreign-Body Migration,
pubmed-meshheading:8748338-Gels,
pubmed-meshheading:8748338-Humans,
pubmed-meshheading:8748338-Lymph Nodes,
pubmed-meshheading:8748338-Middle Aged,
pubmed-meshheading:8748338-Postoperative Complications,
pubmed-meshheading:8748338-Silicones
|
| pubmed:year |
1995
|
| pubmed:articleTitle |
Monitoring the axilla in patients with silicone gel implants.
|
| pubmed:affiliation |
Department of Plastic Surgery, New York Hospital, Cornell Medical Center, NY 10021, USA.
|
| pubmed:publicationType |
Journal Article
|