PMC7301711_01
Preoperative photograph of the patient, taken anteriorly.
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At the time of presentation her prostheses were 27-year-old sub-muscular, silicone, textured implants (Figure 1).
T1 weighted contrast bilateral breast MRI demonstrating a soft tissue intensity mass-like area attached to the right breast capsule with internal enhancing foci and trace periprosthetic fluid, in addition to enhancing foci at the deep margin of the left breast capsule.
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The left implant was intact and showed similarly enhancing foci at the lower outer quadrant along the capsule, in addition to a 15 mm fluid collection (Figure 2).
Intraoperative photograph of bilateral explanted, textured, silicone breast prostheses and right breast capsule. There is evidence of bilateral rupture with hematoma within the implants.
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The left implant was found to be ruptured (Figure 3).
Immunohistochemistry for CD68, a histocyte marker, highlights numerous foam histocytes within the lesion on the external surface of the right capsule.
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Her pathology was consistent with a silicone granuloma (Figures 4 and 5).
This image shows vacuolated histiocytes and a foreign body-type giant cell, features of the silicone granuloma taken from the lesion on the external surface of the right capsule.
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Her pathology was consistent with a silicone granuloma (Figures 4 and 5).