264 results match your criteria Imaging in Breast Implant Rupture

The Value of Ultrasound in the Evaluation of the Integrity of Silicone Breast Implants.

Medicina (Kaunas) 2021 May 3;57(5). Epub 2021 May 3.

Clinic of Radiology, Hospital of Lithuanian University of Health Sciences, LT-50161 Kaunas, Lithuania.

Breast implant surgery for cosmetic purposes is the most popular plastic surgery and it has been performed for over 100 years. Rupture of silicone gel-filled breast implants usually is asymptomatic and is one of the more dangerous complications due to free silicone migration. The aim of our study was to evaluate the diagnostic value of ultrasound (US) in the evaluation of the integrity of silicone breast implants and identify the main sign of intact and ruptured breast implants. Read More

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Silicone granuloma: a cause of cervical lymphadenopathy following breast implantation.

BMJ Case Rep 2021 Mar 3;14(3). Epub 2021 Mar 3.

Otolaryngology & Radiology Department, Sunderland Royal Hospital, Sunderland, UK.

We report a case of a 54-year-old woman with saline-based breast implants who presented to the ear, nose and throat neck lump clinic with a 2-week history of bilateral neck lumps. She was found to have multiple palpable cervical lymph nodes bilaterally in levels IV and Vb. The ultrasonography demonstrated multiple lymph nodes with the snowstorm sign and a core biopsy confirmed a silicone granuloma (siliconoma). Read More

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Progressive silicone lymphadenopathy post mastectomy and implant reconstruction for breast cancer.

BMJ Case Rep 2021 Feb 9;14(2). Epub 2021 Feb 9.

Breast Surgery, St Vincent's Hospital Melbourne, Melbourne, Victoria, Australia.

A 56-year-old woman with a 12-year history of recurrent triple-negative invasive carcinoma of the breast presented with progressive enlargement of lymph nodes in the setting of established rupture of the ipsilateral silicone breast implant. Although this was proven to be benign on cytology, its progressive nature led to repeated core biopsies for histology, which were necessary given the high-risk nature of triple-negative breast cancer and the multiple proven previous recurrences. The histology demonstrated features of silicone deposits without evidence of malignancy. Read More

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February 2021

Is breast ultrasound a good alternative to magnetic resonance imaging for evaluating implant integrity?

Radiologia (Engl Ed) 2021 Jan 19. Epub 2021 Jan 19.

Sección Diagnóstico e Intervencionismo Mamario, Servicio de Diagnóstico por Imágenes, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina.

Objective: To compare the diagnostic performance of breast ultrasound and breast magnetic resonance imaging and to correlate the findings on the two techniques that are suggestive of implant rupture.

Material And Methods: We reviewed the images and reports of breast ultrasound and magnetic resonance imaging studies done in our diagnostic and interventional breast imaging unit to evaluate breast implants in 205 patients between January 2015 and December 2017.

Results: Ultrasound findings were compatible with implant rupture in 87 (42. Read More

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January 2021

Breast implant-associated anaplastic large cell lymphoma with contralateral invasive lobular carcinoma.

Radiol Case Rep 2020 Dec 9;15(12):2572-2576. Epub 2020 Oct 9.

Sutter Health, Santa Rosa, CA.

Breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) is a rare type of T-cell lymphoma that arises in the setting of textured breast implants. In this case report, a 69-year-old woman with a remote history of right-sided invasive lobular carcinoma status post right mastectomy and bilateral breast reconstruction presents with spontaneous right breast swelling and pain, suspicious for implant rupture. Diagnostic MRI revealed a peri-implant fluid collection in the right breast and focal nonmass enhancement in the left breast. Read More

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December 2020

Accuracy of mammography, sonography and magnetic resonance imaging for detecting silicone breast implant ruptures: A retrospective observational study of 367 cases.

Ann Chir Plast Esthet 2021 Feb 26;66(1):25-41. Epub 2020 Sep 26.

Service de chirurgie plastique esthétique et reconstructrice, centre hospitalo-universitaire de Bordeaux, GH Pellegrin Centre François-Xavier Michelet, place Amélie-Raba-Léon, 33000 Bordeaux, France.

Introduction: The purpose of this study was to assess the efficacy of magnetic resonance imaging, ultrasound and mammography in detecting breast implant rupture.

Methods: This retrospective study included all cases of breast implant revision. Implant integrity was determined preoperatively by magnetic resonance imaging, ultrasound and mammography. Read More

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February 2021

Imaging of breast implant and implant-associated complications: Capsular contracture and intra- or extracapsular rupture.

Clin Hemorheol Microcirc 2020 ;76(2):221-231

Department of Radiology, University Hospital Regensburg, Germany.

Background: In recent years, follow-up after breast reconstruction with silicone implants and the detection of complications have been relieved by the possibility of improved diagnostic methods.

Methods: Between January 2015 and December 2019 a total of 40 patients (29-84 years) with silicone implants were included in this retrospective study. The implants were examined clinically and with modern imaging: general ultrasound imaging (US), magnetic resonance imaging (MRI), high resolution computed tomography (CT) and positron emission tomography -computed tomography (PET-CT). Read More

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December 2020

Silicone nipple discharge: A case report of an unusual presentation of breast implant rupture.

Int J Surg Case Rep 2020 7;74:73-76. Epub 2020 Aug 7.

Plastic Surgery Unit, Northern Hospital, Melbourne, Victoria, Australia.

Introduction: Breast implant rupture is a well-documented complication of breast implant surgery. Diagnosis of ruptured silicone implants can be difficult due to the lack of overt symptoms. This is the first reported case of a patient with silicone breast implant rupture presenting with clear nipple discharge and is presented in line with SCARCE 2018 Guidelines [1]. Read More

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Diagnostic value of a spiral breast computed tomography system equipped with photon counting detector technology in patients with implants: An observational study of our initial experiences.

Medicine (Baltimore) 2020 Jul;99(30):e20797

Institute of Diagnostic and Interventional Radiology, University Hospital Zurich, Rämistrasse, Zürich, Switzerland.

To evaluate the value of a breast computed tomography (CT) (B-CT) in assessing breast density, pathologies and implant integrity in women with breast implants.This retrospective study was approved by the local ethics committee. B-CT images of 21 women with implants (silicone/saline; 20 bilateral, 1 unilateral) who underwent opportunistic screening or diagnostic bilateral B-CT were included. Read More

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Inadvertent Rupture of a Silicone Breast Implant during Fat Grafting: Surgical and Radiological Findings.

Plast Reconstr Surg Glob Open 2020 Jun 4;8(6):e2863. Epub 2020 Jun 4.

Department of Plastic and Hand Surgery, Regions Hospital, St. Paul, Minn.

Autologous fat grafting is a common, relatively safe procedure for breast augmentation and reconstruction. The most commonly reported complications tend to be fat necrosis and oil cysts. The incidence of rare events, such as breast implant rupture, is likely underreported. Read More

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Determinants of surgeon choice in cases of suspected implant rupture following mastectomy or aesthetic breast surgery: Clinical implications.

Medicine (Baltimore) 2020 Jul;99(27):e21134

Legal Medicine, Udine University Hospital, Department of Medical Area (DAME), University of Udine, Udine, Italy.

Implant ruptures may be diagnosed by physical examination, ultrasound (US), and magnetic resonance imaging (MRI). The absence of standard guidelines to approach to implant ruptures may cause unnecessary surgical revisions in the absence of radiological confirmation of prosthetic damages.The purpose of this study was to analyze the diagnostic procedures applied to patients with suspected prosthetic rupture and surgeon choices to perform a revision or to plan a clinical and radiological follow-up. Read More

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Breast Implant Imaging Surveillance among U.S. Plastic Surgeons: U.S. Food and Drug Administration Recommendations versus Clinical Reality.

Plast Reconstr Surg 2020 06;145(6):1381-1387

From the Department of Surgery, Division of Plastic Surgery, Pennsylvania State University, College of Medicine; and the Departments of Plastic Surgery and Diagnostic Radiology, M. D. Anderson Cancer Center, University of Texas.

Background: Device rupture is considered a major complication associated with breast implants. The U.S. Read More

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The Emerging Crisis of Stakeholders in Implant-based Augmentation Mammaplasty in Korea.

J Korean Med Sci 2020 Apr 20;35(15):e103. Epub 2020 Apr 20.

Department of Surgery, Breast Cancer Center, Gachon University Gil Medical Center, Incheon, Korea.

Background: Korea is no longer safe from the risk of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL); the first reported case was a Korean woman in her 40s who had a 7-year-history of receiving an implant-based augmentation mammaplasty using a textured implant. We conducted this study to discuss the emerging crisis of stakeholders in implant-based augmentation mammaplasty and to propose a multi-disciplinary approach to early detection of its complications.

Methods: We analyzed medical examination data that was collected from patients who visited us between August 12 and September 27, 2019. Read More

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Uncommon complications of breast prostheses.

Radiologia (Engl Ed) 2020 Jul - Aug;62(4):266-279. Epub 2020 Apr 6.

Servicio de Radiodiagnóstico, Hospital Clínico Universitario San Carlos, Madrid, España.

Breast implants are associated with well-known common complications that have been widely studied, such as rupture and capsular contraction. However, the increasingly growing number of patients with breast implants has led to the increased likelihood of coming across less common complications; these include seromas or late infection; adenopathies in the internal mammary chain; granulomas in the capsule of the implant, which in some cases can extend beyond the fibrous capsule; desmoid tumors associated with the implants; and breast implant-associated large cell anaplastic lymphoma. This article aims to review the main uncommon complications associated with breast implants and to describe and illustrate their findings in different imaging techniques. Read More

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FDG PET/CT of a Supraclavicular Silicone Granuloma at Follow-up of a Breast Carcinoma.

Clin Nucl Med 2020 Mar;45(3):e169-e170

Anatomopathology, CHU Grenoble, Grenoble, France.

We report herein the case of a 33-year-old woman who was referred for FDG PET/CT staging prior to pregnancy after a 4-year lost to follow-up for a breast invasive ductal carcinoma (pT2N1 SBRII). FDG PET/CT revealed right supraclavicular lymphadenopathy potentially caused by breast carcinoma recurrence. No additional site was involved. Read More

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Incidence of benign and malignant peri-implant fluid collections and masses on magnetic resonance imaging in women with silicone implants.

Cancer Med 2020 05 30;9(10):3261-3267. Epub 2019 Sep 30.

Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, New York.

Background: To assess the incidence of benign and malignant peri-implant fluid collections and/or masses on magnetic resonance imaging (MRI) in women with silicone implants who are being screened for silent implant rupture.

Methods: The institutional review board approved this HIPAA-compliant retrospective study and waived informed consent. Women who underwent silicone implant oncoplastic and/or cosmetic surgery and postoperative implant-protocol MRI from 2000 to 2014 were included. Read More

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Surgical Outcomes of Implant-based Breast Reconstruction Using TiLoop Bra Mesh Combined With Pectoralis Major Disconnection.

Ann Plast Surg 2019 10;83(4):396-400

From the Departments of Breast Surgery.

Objective: This study aimed to compare breast symmetry and patient satisfaction with breast appearance between implant-based breast reconstruction using TiLoop Bra mesh combined with pectoralis major disconnection (IMR) and conventional implant reconstruction (IR), and to analyze differences in complications.

Methods: This retrospective study included 59 patients administered IMR or IR in 2016 to 2018. Three-dimensional scanning was performed to objectively evaluate breast symmetry. Read More

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October 2019

Management of Capsular Contracture in Cases of Silicone Gel Breast Implant Rupture with Use of Pulse Lavage and Open Capsulotomy.

Aesthetic Plast Surg 2019 10 31;43(5):1173-1185. Epub 2019 Jul 31.

Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, University Hospital Bonn, University of Bonn, Venusberg-Campus 1, D-53127 Bonn, Germany.

Introduction: Pulse lavage (PL) irrigation of prosthesis pockets has prior been described for breast implant salvages. However, PL for removal of leaked silicone from prosthesis pockets after implant ruptures has not been studied yet. Since open capsulotomies are regarded as equal treatment of capsular contracture (CC) than capsulectomies, this study analyzed the clinical outcome of PL for silicone removal and subsequent capsulotomy in cases of concurrent CC and breast implant rupture. Read More

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October 2019

Inflammatory response to the anti PD-L1 drug, atezolizumab, masquerades as breast implant rupture.

Eur J Nucl Med Mol Imaging 2019 Oct 15;46(11):2402-2403. Epub 2019 Jul 15.

Department of Nuclear Medicine and Radiobiology, Faculty of Medicine and Health Sciences, Sherbrooke University, 3001, 12th Avenue North, Sherbrooke, QC, J1H 5N4, Canada.

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October 2019

Ability of Dual-Energy CT to Detect Silicone Gel Breast Implant Rupture and Nodal Silicone Spread.

AJR Am J Roentgenol 2019 04 19;212(4):933-942. Epub 2019 Feb 19.

1 Department of Radiology, 200 First St SW, Mayo Clinic, Rochester, MN 55905.

Objective: The purpose of this study is to compare the performance of dual-energy CT (DECT) with that of breast MRI for detection of silicone gel breast implant rupture and nodal spread of silicone.

Subjects And Methods: This prospective study enrolled consecutive patients with current or prior silicone gel implants and clinical suspicion of implant rupture or extra-capsular silicone. All patients underwent MRI followed by unenhanced DECT. Read More

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Pericarditis After Breast Implant Rupture: A Case Report.

Cardiol Res 2018 Dec 7;9(6):381-384. Epub 2018 Dec 7.

Department of Gynaecology Surgery, CHU Rangueil, Toulouse, France.

A ruptured breast implant is usually asymptomatic and accidentally discovered during an imaging test. However, implant ruptures can cause isolated silicone granulomas and cases of severe systemic disease. We report the first case of a 39-year-old female patient with augmentation breast implants and myopericarditis secondary to implant rupture. Read More

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December 2018

Mechanical and surface chemical analysis of retrieved breast implants from a single centre.

J Mech Behav Biomed Mater 2019 03 2;91:24-31. Epub 2018 Nov 2.

Division of Surgery and Interventional Science, Royal Free Campus, University College London, Pond Street, London NW3 2QG, United Kingdom.

Introduction: Breast implants are associated with complications such as capsular contracture, implant rupture and leakage often necessitating further corrective surgery. Re-operation rates have been reported to occur in up to 15.4% of primary augmentation patients and up to 27% in primary reconstructions patients within the first three years (Cunningham, 2007). Read More

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Six-Year Prospective Outcomes of Primary Breast Augmentation With Nano Surface Implants.

Aesthet Surg J 2019 04;39(5):495-508

Anesthetist in private practice in San Jose, Costa Rica.

Background: Motiva Implants (Establishment Labs Holdings Inc.) are a novel family of silicone breast implants using cutting-edge technologies engineered to optimize aesthetic and safety outcomes.

Objectives: The authors sought to prospectively evaluate the safety and effectiveness of SmoothSilk/SilkSurface Motiva Implants over long-term follow-up. Read More

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Rat tail sign: Breast implants.

J Med Imaging Radiat Oncol 2018 Oct;62 Suppl 1:42

Department of Radiology, Concord Repatriation General Hospital, Concord, New South Wales, Australia.

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October 2018

Complication of Ruptured Poly Implant Prothèse Breast Implants Combined with AQUAfilling Gel Injection: A Case Report and Literature Review.

Aesthetic Plast Surg 2019 02 4;43(1):46-52. Epub 2018 Oct 4.

Department of Plastic Surgery, SMG-SNU Boramae Medical Center, Seoul, 07061, Korea.

Introduction: We describe the first case of a patient who received AQUAfilling gel (Biomedica, Prague, Czech Republic) after augmentation with Poly Implant Prothèse (PIP) breast implants and later developed breast deformity with bilateral implant rupture.

Case Report: A 49-year-old Korean female patient who received breast augmentation with PIP implants 18 years ago and subsequent insertion of AQUAfilling gel 1 year ago visited our center with a chief complaint of pain and decreased implant sizes in both breasts. Breast implant and foreign body removal operation was performed for both breasts under general anesthesia. Read More

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February 2019

US FDA Breast Implant Postapproval Studies: Long-term Outcomes in 99,993 Patients.

Ann Surg 2019 01;269(1):30-36

Department of Plastic Surgery, MD Anderson Cancer Center, Houston, TX.

Objective: To analyze the long-term safety and efficacy outcomes of patients with breast implants.

Summary Background Data: Research is ongoing regarding the safety of silicone breast implants. Despite the number of patients with breast implants followed by United States Food and Drug Administration large postapproval studies (LPAS), this database has not been thoroughly analyzed or reported. Read More

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January 2019

F-FDG PET/CT Unveiling of Implant Rupture and Clinically Unsuspected Silicone Granuloma in Treated Breast Cancer.

J Nucl Med Technol 2018 Dec 3;46(4):394-395. Epub 2018 Aug 3.

Division of Molecular Imaging and Therapeutics, Department of Radiology, University of Alabama at Birmingham, Birmingham, Alabama.

F-FDG uptake in enlarged lymph nodes is always suspicious, especially in cancer patients. We report a case of hypermetabolic internal mammary lymphadenopathy in a breast cancer patient who was previously treated with bilateral mastectomy and implants. The abnormal nodal uptake turned out to be due to foreign body-induced inflammation, as confirmed histopathologically. Read More

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December 2018

Extracapsular breast implant rupture mimicking local cancer recurrence on F-FDG PET/CT.

Rev Esp Med Nucl Imagen Mol (Engl Ed) 2018 Nov - Dec;37(6):392-394. Epub 2018 Jul 19.

Servicio de Medicina Nuclear, Hospital Universitario Central de Asturias, Oviedo, Asturias, España.

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