Breast implants: A guide for general practice

Kaderbhai, Alia; Broomfield, Ashlea; Cuss, Amanda; Shaw, Karen; Deva, Anand K.

doi:10.31128/ajgp-01-20-5188

Cited by 4 publications

(3 citation statements)

References 21 publications

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“…Silicone implants have a recommended lifespan of 10–15 years 9. This patient presented with an 11-year lifetime of her silicone implants, which further supports the need for close patient follow-up and monitoring towards the 10-year mark post-implant insertion.…”

Section: Discussionsupporting

confidence: 59%

“…Silicone breast implants have a near 60-year history for reconstruction and cosmetic use. Since its initiation, there has been an exponential rise in research surrounding adverse effects associated with breast implants, which include implant leakage and rupture as well as BIA-ALCL 9. However, it is only recently that xanthogranulomatous inflammation has been reported as an implant-related complication in the breast.…”

Section: Discussionmentioning

confidence: 99%

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Xanthogranulomatous inflammation and spindle cell proliferation in response to silicone breast implant leakage

et al. 2023

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This case study highlights the rare complications of silicone breast implants, as well as the diagnostic limitations of imaging. The patient initially presented with leakage of bilateral breast implants as discovered by a positron emission tomography (PET)-computerized tomography (CT) scan performed as part of a workup for small bowel Langerhans cell sarcoma metastases. The imaging results of the PET-CT scan revealed increased activity bilaterally with an enhancing, irregular, heterogeneously enhancing mass in the right breast. Given the clinical suspicion for breast implant-associated anaplastic large cell lymphoma, further investigation including surgical excision was undertaken. What initially was a concern for a serious complication of long-standing breast implants, fortuitously turned out to be a benign but exuberant xanthogranulomatous inflammatory reactive process. We hope that our report will add to the literature of this rare phenomenon and highlight it as a differential diagnosis of a mass in association with breast implants.

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Section: Discussionsupporting

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Xanthogranulomatous inflammation and spindle cell proliferation in response to silicone breast implant leakage

et al. 2023

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“…Although rare, it is an important diagnosis to exclude in a patient presenting with breast capsular contracture and peri-implant effusions. Breast US remains the gold-standard for detecting implant rupture, seroma or any peri-implant or capsular mass [ 21–23 ].…”

Section: Discussionmentioning

confidence: 99%

Cutibacterium acnesin breast implants: an underestimated bacterial infection and review of the literature

Hanna

Manuel

Baker

et al. 2023

Journal of Surgical Case Reports

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The role of bacteria and breast implant illness is an emerging area of interest for surgeons and clinicians. The most common cause of surgical readmission remains post-operative infectious complications. Cutibacterium acnes is an anaerobic, gram-positive organism that is part of the normal human microbiota. In certain circumstances, it may cause chronic infections and capsular contractures in breast implant-related complications. This case series outlines patients with bilateral capsular contractures and growth of C. acnes. The patients were managed surgically with the removal of bilateral breast implants with en bloc capsulectomy and oral antibiotics without complications. This report will outline the pathology of C. acnes, association with breast implant-associated anaplastic large cell lymphoma and review of the literature.

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Breast Implant Illness: Surgical, Autoimmune, and Breast Reconstruction Associations

et al. 2022

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Breast implant illness refers to a combination of different symptoms related to breast implant surgery, including fatigue, brain fog, and arthralgias. This malaise occurs after cosmetic and reconstructive breast surgeries, although it has not been proven to be a disease. Even recent studies have reported concluding statements of the etiology, diagnosis, and treatment as unclear and widely unknown. Therefore, this review aimed to determine the associations between the manifestations of breast implant illness in surgery and breast reconstruction, as well as the autoimmune responses involved. Complications associated with breast implants include breast pain, capsular contracture, infections, as well as other manifestations specific to breast reconstruction. Moreover, patients with implants may present with new-onset systemic sclerosis, Sjögren’s syndrome, and connective tissue diseases. However, the incidence of capsular contracture has steadily decreased with each generation of implants, particularly since the development of textured implants, as well as with the use of antibiotics and antiseptic pocket irrigation. However, the incidence of anaplastic large cell lymphoma has increased with the use of textured implants. Remarkably, the autoimmune response to these implants remains unclear. Therefore, close follow-up, careful observation of any symptom presentation, and evidence-based treatment decisions are necessary for patients with breast implants.

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Breast implants: A guide for general practice

Abstract: BackgroundSilicone breast implants have been used for post-mastectomy breast reconstruction and cosmetic augmentation since the 1960s. Recent regulatory action has resulted in a few devices being suspended or cancelled from the Australian market.

Cited by 4 publications

References 21 publications

Xanthogranulomatous inflammation and spindle cell proliferation in response to silicone breast implant leakage

Xanthogranulomatous inflammation and spindle cell proliferation in response to silicone breast implant leakage

Cutibacterium acnesin breast implants: an underestimated bacterial infection and review of the literature

Breast Implant Illness: Surgical, Autoimmune, and Breast Reconstruction Associations

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