Plastic and Reconstructive Surgery, Global Open (Mar 2015)

Thoracic Outlet Syndrome Following Breast Implant Rupture

  • Raakhi Mistry, MBChB,
  • Yugesh Caplash, MBBS, FRACS,
  • Pratyush Giri, MBBS, FRACP, FRCPA,
  • Daniel Kearney, MBBS, FRCPA,
  • Marcus Wagstaff, MBBS, PhD, FRACS

DOI
https://doi.org/10.1097/GOX.0000000000000295
Journal volume & issue
Vol. 3, no. 3
p. e331

Abstract

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Summary: We present a patient with bilateral breast implant rupture who developed severe locoregional silicone granulomatous lymphadenopathy. Poly Implant Prothese silicone implants had been used for bilateral breast augmentation 5 years prior. Extracapsular implant rupture and bilateral axillary lymphadenopathy indicated explantation, capsulectomy, and selective lymph node excision. Histology demonstrated silicone lymphadenopathy with no evidence of malignancy. Over the subsequent 12 months, she developed progressive locoregional lymphadenopathy involving bilateral cervical, axillary, and internal mammary groups, resulting in bilateral thoracic outlet syndrome. We report the unusual presentation, progression, and the ultimate surgical management of this patient.