Axillary lipogranuloma mimicking carcinoma metastasis after silicone breast implant rupture: A case report


Gundeslioglu A. O. , Hakverdi S., ERDEM O. A. , Ozen E. C. , Inan I., Emlik D.

JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, vol.66, no.3, 2013 (Peer-Reviewed Journal) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 66 Issue: 3
  • Publication Date: 2013
  • Doi Number: 10.1016/j.bjps.2012.11.025
  • Journal Name: JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY
  • Journal Indexes: Science Citation Index Expanded, Scopus
  • Keywords: Silicone granuloma, Lipogranuloma, Breast implant, Breast cancer, PROSTHESES

Abstract

Silicone-gel-filled breast implants have been widely used for breast augmentation and reconstruction after mastectomy. However, silicone implants have some well-known complications, such as implant rupture, which requires surgical intervention. Dissemination of silicone particles out of the implant causes a granulomatous reaction, a phenomenon known as silicone granuloma, in breast parenchyma as well as axillary, breast and chest wall lymph nodes, which mimics breast cancer metastasis. However, lipogranuloma after silicone breast implant rupture has not been reported in the literature, although it is a common complication after mineral oil or liquid silicone injection. We present a case report of an axillary lymphadenopathy resulting from lipogranuloma after silicone-gel-filled implant rupture. Review of the literature suggests that this is the first report of a lipogranuloma resulting from implant rupture. (C) 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.