title: Thoracic outlet syndrome following breast implant rupture.
abstract: 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.
authors: Department of Plastic and Reconstructive Surgery, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia; Department of Haematology, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia; and Anatomical Pathology, SA Pathology, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia.
authors: Raakhi
authors: R
authors: Mistry
authors: Department of Plastic and Reconstructive Surgery, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia; Department of Haematology, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia; and Anatomical Pathology, SA Pathology, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia.
authors: Yugesh
authors: Y
authors: Caplash
authors: Department of Plastic and Reconstructive Surgery, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia; Department of Haematology, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia; and Anatomical Pathology, SA Pathology, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia.
authors: Pratyush
authors: P
authors: Giri
authors: Department of Plastic and Reconstructive Surgery, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia; Department of Haematology, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia; and Anatomical Pathology, SA Pathology, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia.
authors: Daniel
authors: D
authors: Kearney
authors: Department of Plastic and Reconstructive Surgery, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia; Department of Haematology, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia; and Anatomical Pathology, SA Pathology, Royal Adelaide Hospital, North Terrace, Adelaide, South Australia.
authors: Marcus
authors: M
authors: Wagstaff