Silicone breast implant rupture
Background. The role of new-generation silicone implants can hardly be overestimated in modern aesthetic and reconstructive surgery. Every year about 2 million breast endoprosthetic replacement operations were performed worldwide, which involve those for breast augmentation and for one-stage or delayed breast reconstruction for breast cancer. However, despite the safety of silicone implants, there can now be a complication, such as breast implant rupture.Zikiryakhodzhaev A.D., Rasskazova E.A., Omarova D.F., Khugaeva F.S., Skreptsova N.S., Dolgacheva D.V.
Case report. This paper describes a clinical case of a patient after breast augmentation. Fifteen years later, breast cancer was diagnosed on the one hand, and 17 years after augmentation of the breast, its implant rupture occurred on the other. The paper describes the results of examination of the patient with confirmed breast implant rupture. This clinical case is an example, in which the patient with a history of breast augmentation was diagnosed with breast cancer during a follow-up, and then after 1.5 years, she was diagnosed during a follow-up with grade III capsular implant contracture, the treatment of which required breast implant replacement surgery. Subsequently, the patient was diagnosed with contralateral breast implant rupture; the previous implant was replaced with a new implant.
Conclusion. Taking into account the increase in the number of patients with breast augmentation performed for aesthetic purposes, it is necessary to examine a patient with breast implants to rule out cancer in the future, as well as considering the possibility of implant rupture that can be asymptomatic for a long time. If implant rupture is detected, there is a need for surgical treatment with its removal and one-stage or two-stage implant replacement.
Keywords
silicone implant
silicone implant rupture
breast augmentation
breast cancer
one-stage reconstruction
rehabilitation
References
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Received 06.03.2020
Accepted 04.06.2020
About the Authors
Aziz D. Zikiryakhodzhayev, MD, Head of the Department of Oncology and Reconstructive Surgery of the Mammary Gland and Skin; P.A. Hertsen Moscow Oncology Research Center – branch of FSBI NMRRC of the Ministry of Health of Russia. E-mail: azizz@mail.ru. 125284, Russia, Moscow, 2-nd Botkinsky proezd, 3.Elena A. Rasskazova, MD, PhD, researcher of the department of oncology and reconstructive surgery of the mammary gland and skin, P.A. Hertsen Moscow Oncology Research Center – branch of FSBI NMRRC of the Ministry of Health of Russia. E-mail: rasskaz2@yandex.ru. ORCID: 0000-0003-0307-8252.
125284, Russia, Moscow, 2-nd Botkinsky proezd, 3.
Janet F. Omarova, postgraduate, I.M. Sechenov First Moscow State Medical University (Sechenov University). ORCID: 0000-0003-1824-6888.
119991, Russia, Moscow, Trubetskaya str., 8.
Fatima S. Khugaeva, postgraduate, I.M. Sechenov First Moscow State Medical University (Sechenov University). ORCID: 0000-0001-9749-0445.
119991, Russia, Moscow, Trubetskaya str., 8.
Natalia S. Skreptsova, PhD., doctor of the Department of ultrasound diagnostics, P.A. Hertsen Moscow Oncology Research Institute – branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation. ORCID: 0000-0002-7817-5324.
125284, Russia, Moscow, 2-nd Botkinsky proezd, 3.
Darya V. Dolgacheva, PhD, Junior researcher of the Department of ultrasound diagnostics, P.A. Hertsen Moscow Oncology Research Institute – branch of the National Medical Research Radiological Centre of the Ministry of Health of the Russian Federation. https://orcid.org/0000-0002-7108-522Х.
125284, Russia, Moscow, 2-nd Botkinsky proezd, 3.
For citation: Zikiryakhodzhaev A.D., Rasskazova E.A., Omarova D.F., Khugaeva F.S., Skreptsova N.S., Dolgacheva D.V. Silicone breast implant rupture.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2020; 9: 348-254 (in Russian).
https://dx.doi.org/10.18565/aig.2020.9.248-254
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