Silicone breast implant rupture


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Abstract

Background. The role of new-generation silicone implants can hardly be overestimated in modern aesthetic and reconstructive surgery. Every year about 2 million breast endoprosthetic replacement operations were performed worldwide, which involve those for breast augmentation and for one-stage or delayed breast reconstruction for breast cancer. However, despite the safety of siiicone impiants, there can now be a compiication, such as breast implant rupture. Case report. This paper describes a clinical case of a patient after breast augmentation. Fifteen years later, breast cancer was diagnosed on the one hand, and 17 years after augmentation of the breast, its implant rupture occurred on the other. The paper describes the results of examination of the patient with confirmed breast implant rupture. This clinical case is an example, in which the patient with a history of breast augmentation was diagnosed with breast cancer during a follow-up, and then after 1.5 years, she was diagnosed during a follow-up with grade III capsular implant contracture, the treatment of which required breast implant replacement surgery. Subsequently, the patient was diagnosed with contralateral breast implant rupture; the previous implant was replaced with a new implant. Conclusion. Taking into account the increase in the number of patients with breast augmentation performed for aesthetic purposes, it is necessary to examine a patient with breast implants to rule out cancer in the future, as well as considering the possibility of implant rupture that can be asymptomatic for a long time. If implant rupture is detected, there is a need for surgical treatment with its removal and one-stage or two-stage implant replacement.

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About the authors

Aziz D. Zikiryakhodzhaev

RA. Herzen Moscow Oncology Research Institute - Branch of National Medical Radiology Research Center, Ministry of Health of the Russian Federation; I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of the Russian Federation

Email: azizz@mail.ru
MD, Head of the Department of Oncology and Reconstructive Surgery of the Mammary Gland and Skin

Elena A. Rasskazova

RA. Herzen Moscow Oncology Research Institute - Branch of National Medical Radiology Research Center, Ministry of Health of the Russian Federation

Email: rasskaz2@yandex.ru
MD, PhD, researcher of the department of oncology and reconstructive surgery of the mammary gland and skin

Janet F. Omarova

I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of the Russian Federation

postgraduate

Fatima S. Khugaeva

I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of the Russian Federation

Email: hugaeva@mail.ru
postgraduate

Natalia S. Skreptsova

RA. Herzen Moscow Oncology Research Institute - Branch of National Medical Radiology Research Center, Ministry of Health of the Russian Federation

PhD., doctor of the Department of ultrasound diagnostics

Darya V. Dolgacheva

RA. Herzen Moscow Oncology Research Institute - Branch of National Medical Radiology Research Center, Ministry of Health of the Russian Federation

PhD, Junior researcher of the Department of ultrasound diagnostics

References

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