title: Disseminated Pleural Siliconoma Mimicking Malignant Pleural Mesothelioma.
abstract: A 48-year-old woman with a 3-month history of back pain was admitted for further examination of multiple left pleural nodules. She had undergone bilateral breast augmentation with silicone implants 10 years previously. Nine years after the operation, both ruptured implants were removed, and autologous fat was injected. Computed tomography revealed multiple pleural nodules suggestive of malignant pleural mesothelioma. Thoracoscopic exploration revealed multiple pleural nodules with massive pleural adhesions. The nodules were filled with viscous liquid and were histologically determined to be siliconomas. Disseminated pleural siliconoma should be recognized as a late adverse event of silicone breast implantation.
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Yamaguchi-Ube Medical Center, Ube, Yamaguchi, Japan. Electronic address: tanakat@yamaguchi-hosp.jp.
authors.forename: Toshiki
authors.initials: T
authors.lastname: Tanaka
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Yamaguchi-Ube Medical Center, Ube, Yamaguchi, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Tao
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Yamaguchi-Ube Medical Center, Ube, Yamaguchi, Japan.
authors.forename: Tatsuro
authors.initials: T
authors.lastname: Hayashi
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Yamaguchi-Ube Medical Center, Ube, Yamaguchi, Japan.
authors.forename: Koichi
authors.initials: K
authors.lastname: Yoshiyama
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Yamaguchi-Ube Medical Center, Ube, Yamaguchi, Japan.
authors.forename: Masashi
authors.initials: M
authors.lastname: Furukawa
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Yamaguchi-Ube Medical Center, Ube, Yamaguchi, Japan.
authors.forename: Kumiko
authors.initials: K
authors.lastname: Yoshida
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Yamaguchi-Ube Medical Center, Ube, Yamaguchi, Japan.
authors.forename: Kazunori
authors.initials: K
authors.lastname: Okabe
mesh_terms: D018427:Breast Implants / Q000009:adverse effects*; D003937:Diagnosis, Differential; D005260:Female; D005548:Foreign-Body Migration / Q000175:diagnosis*; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis*; D016462:Mammaplasty; D008654:Mesothelioma / Q000175:diagnosis*; D000086002:Mesothelioma, Malignant; D008875:Middle Aged; D010997:Pleural Neoplasms / Q000175:diagnosis*; D020034:Silicone Gels / Q000009:adverse effects*
chemical_list: D020034:Silicone Gels