Advertisement

Diagnostic Dilemmas Caused by Silicones

  • Gustavo Emilio SchenoneEmail author
Chapter

Abstract

The symptoms and degree of clinical involvement of the breast through the injection of liquid silicones vary widely. The manifestations sometimes do not show up immediately after the administration of the silicone, but within a few months or until almost more than a decade after its implementation, these being the product of the immune reaction to a foreign body.

It is important to point out that mammary siliconomas impede an adequate clinical examination, because the inflammatory reaction in the mammary parenchyma makes it difficult to evaluate through mammography, mammary ultrasound, or magnetic resonance imaging (MRI). One thing that is of no doubt is that the prognosis of breast cancer is highly contingent upon its early diagnosis. There also is no doubt that siliconomas interfere with and, thereby, may delay the early detection of breast cancer, due to the numerous difficulties they cause in breast evaluation.

Keywords

Systemic complications Flu-like symptoms Pulmonary emboli Deaths Cancer Diagnostic dilemmas Early diagnosis Mammography Breast ultrasound 

Bibliography

  1. 1.
    Chaplin CH. Loss of both breasts from injections of silicone (with additive). Plast Reconstr Surg. 1969;44:447.CrossRefGoogle Scholar
  2. 2.
    Ortíz-Monasterio F, Trigos I. Management of patients with complications from injections of foreign materials into the breasts. Plast Reconstr Surg. 1972;50:42–7.CrossRefGoogle Scholar
  3. 3.
    Wilkie TF. Late development of granuloma after liquid silicone injections. Plast Reconstr Surg. 1977;60:179–88.CrossRefGoogle Scholar
  4. 4.
    Herbstein JA. Muerte por Tromboembolismo Pulmonar luego de la Inyección Ilegal de Fluido de Siliconas. A Propósito de un Caso. Buenos Aires: Instituto de Ciencias Forenses de la Fiscalía de Cámaras del Departamento Judicial de Lomas de Zamora; 2005.Google Scholar
  5. 5.
    Ministerio de Salud de la Nación. Cáncer de mama http://www.msal.gob.ar/inc/index.php/cancer-de-mama. June 2016.
  6. 6.
    U. S. Breast Cancer Statistics. http://www.breastcancer.org/symptoms/understand_bc/statistics. June 2016.
  7. 7.
    Cresta Morgado C, et al. Guía de Procedimientos en Patología Mamaria para Diagnóstico y Tratamiento. Buenos Aires: Instituto de Oncología Ángel H. Roffo UBA; 2002.Google Scholar
  8. 8.
    Debonis DL. Factores de riesgo en el cáncer de mama. Buenos Aires: Tesis de Doctorado en Medicina- UBA; 1989.Google Scholar
  9. 9.
    Cheung YC. Lumpy silicone-injected breasts enhanced MRI and microscopic correlation. J Clin Imaging. 2002;26(6):397–404.CrossRefGoogle Scholar
  10. 10.
    Parsons RW, Thering HR. Management of the silicon injected breast. Plast Reconstr Surg. 1977;60(4):534–8.CrossRefGoogle Scholar
  11. 11.
    Morgenstern L, Fleischman SH, Michel SL. Relation of free silicone to human breast carcinoma. Arch Surg. 1985;120(5):573–7.CrossRefGoogle Scholar
  12. 12.
    Talmor M. Squamous cell carcinoma of the breast after augmentation with liquid silicone injection. Ann Plast Surg. 1995;34(6):619–23.CrossRefGoogle Scholar
  13. 13.
    Schenone GE. Siliconomas Mamarios por Inyección: Clínica, Diagnóstico y Tratamiento. Buenos Aires, Ed. Journal; 2017.Google Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Plastic Surgery, University of Buenos AiresBuenos AiresArgentina

Personalised recommendations