title: Locoregional silicone spread after high cohesive gel silicone implant rupture.
abstract: A 45-year-old patient had routine cosmetic bilateral breast augmentation 6 years previously using cohesive gel implants. She presented 4 years later with a breast lump and multiple axillary lymph nodes. Exploration revealed that the breast implant had a large tear at the posterior wall of the shell with intra-capsular leakage of silicone. The axilla had eight enlarged lymph node--all were removed. Histology showed silicone granuloma in the capsule and silicone lymphadenitis. High cohesive gel implants may not be as safe as is commonly believed and all implant ruptures, irrespective of the cohesiveness of the silicone gel, should be investigated thoroughly.
authors.affiliation: Selly Oak Hospital, University Hospitals Birmingham, Raddlebarn Road, Birmingham B29 6JD, UK. anindyalahiri@hotmail.com
authors.forename: Anindya
authors.initials: A
authors.lastname: Lahiri
authors.forename: Ruth
authors.initials: R
authors.lastname: Waters
mesh_terms: D001365:Axilla; D019928:Breast Implantation; D018427:Breast Implants; D005260:Female; D005548:Foreign-Body Migration; D015745:Granuloma, Foreign-Body / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008199:Lymphadenitis / Q000209:etiology* / Q000601:surgery; D008875:Middle Aged; D011474:Prosthesis Design; D011475:Prosthesis Failure; D020034:Silicone Gels
chemical_list: D020034:Silicone Gels