Complications of Poly Implant Prothèse breast implants: the current discussion
| Autor: | Leila Kolios, Adrien Daigeler, Alexander Spiethoff, Marcus Lehnhardt, Christoph Hirche |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Reoperation medicine.medical_specialty Axillary lymph nodes Biopsy Breast Implants Biomedical Engineering Prosthesis Design Silicone Gels chemistry.chemical_compound Silicone medicine Humans Breast Implantation Lymphatic Diseases Breast augmentation Lymph node Device Removal medicine.diagnostic_test business.industry Foreign-Body Reaction General Medicine Prosthesis Failure Surgery Axilla Treatment Outcome medicine.anatomical_structure chemistry Lymph Node Excision Female Lymph Nodes Lymph Implant business |
| Zdroj: | Expert Review of Medical Devices. 10:167-170 |
| ISSN: | 1745-2422 1743-4440 |
| DOI: | 10.1586/erd.12.87 |
| Popis: | Against the background of the current discussion about Poly Implant Prothèse (PIP, Seyne-sur-mer, France) breast implants, we want to present a case demonstrating the complications such as implant rupture, silicone dissemination and level III silicone lymphadenopathy. A 29-year-old woman with cosmetic breast augmentation with PIP implants 5 years previously showed a sensitive swelling in her right axilla and neck region. All tests to detect an infectious or lymphomatous lymphadenopathy were negative. After ultrasound and MRI, rupture of the right implant was assumed and multiple pathologically enlarged lymph nodes up to supraclavicular region were shown. An excision biopsy of one axillary lymph node was performed; the histological examination detected a strong silicone lymphadenopathy. Surgical removal of both implants as well as capsulectomy was performed and 14 axillary lymph nodes up to level II were resected. Histologic evaluation confirmed the previous results. Our case underlines the actual discussion concerning increased rupture rate and massive silicone lymphadenopathy by PIP implants. The Agence Francaise de Sécurité Sanitaire des Produits de Santé (AFSSAPS) recommends clinical and ultrasound examination every 6 months for women with PIP implants. Any rupture, suspected rupture or leakage of prosthesis should lead to its explantation as well as that of the contralateral implant. In cases of unusual signs of inflammation, histological and immunohistochemical samples are to be taken. |
| Databáze: | OpenAIRE |
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