Siliconoma a Diagnosing dilemma, A Case Report

Rabbia Khan,Annett Al Hamadi,Yasser Khattab,Faisel Ikram

doi:10.31487/j.scr.2019.05.11

Abstract

Silicone implants have been widely used for breast reconstruction and augmentation for years. One of the potential complications of these implants is rupture. Once rupture they start a granulomatous foreign body reaction in the surrounding tissue. The resulting mass formation poses diagnostic difficulties for the surgeons, as it mimics cancer. We report a case of 40 years female who underwent bilateral mastectomy and immediate reconstruction with implants, later presented with a mass. We suspect it local recurrence of tumor on initial presentation and radiology. Definitive diagnosis was only made after complete excision of the mass and histopathology report. No further treatment required and patient doing well.

Highlights

Silicone prosthesis has been introduced in 1960s, since they have been widely used for breast augmentation and reconstruction purpose
We report a case of 40 years female who underwent bilateral mastectomy and immediate reconstruction with implants, later presented with a mass
For breast mainly silicone gel is used. It is considered biologically inert, class III medical device of limited product life. These devices carry a potential complication of rupture, which can be due to damage during implantation, damage during other surgical procedures, and chemical degradation of the implant shell, trauma and mechanical pressure of mammographic examination

Summary

Introduction

Silicone prosthesis has been introduced in 1960s, since they have been widely used for breast augmentation and reconstruction purpose. For breast mainly silicone gel is used It is considered biologically inert, class III medical device of limited product life. Once ruptured the silicone gel starts to migrate from the chest wall to other parts of body, most commonly to breast and armpit. It manifests as granulomas and axillary lymphadenopathy [1]. If left un-noticed it can form a firm to hard mass, can cause local tissue destruction, ulceration, scarring and nerve damage [2]. This mass can bring significant concern to the patient and to the surgeon. They have characteristic diagnostic features on imaging, but their appearance can mimic a recurrence of underlying malignancy [5]

Case Presentation

Discussion