HighlightsSiliconomas of the breast develop as a result of implant rupture and present with many of the signs and symptoms of breast cancer.MRI is the preferred study for diagnosis and a preoperative tissue sample should be attempted.We present a patient with a giant breast siliconoma and perform a comprehensive literature review.Our patient underwent a modified radical mastectomy with delayed closure.The majority of patients should undergo surgery due to symptoms or the inability to rule out cancer.
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