Case Report

Volume: 4 | Issue: 12 | Published: Jan 01, 1970 | Pages: 419 - 423 | DOI: 10.24911/ejmcr/173-1581852111

Siliconosis: an unknown entity in aesthetic breast surgery


Authors: Jaroszlav Roszpopa , Zeeshan Ahmad


Article Info

Authors

Jaroszlav Roszpopa

Clinical Fellow Higher Plastic Surgery, Department of Plastic and Reconstructive Surgery, Addenbrooke’s Hospital Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom

Zeeshan Ahmad

Locum Consultant Plastic Surgeon, Department of Plastic and Reconstructive Surgery, Addenbrooke’s Hospital Cambridge University Hospitals NHS Foundation Trust, Cambridge, United Kingdom

Publication History

Received: February 16, 2020

Revised: September 25, 2020

Accepted: October 21, 2020

Published: January 01, 1970


Abstract


Background: Siliconosis was first described in the late 1980s and it is still remaining as a rare condition and mainly as a diagnosis of exclusion after breast cancer investigation. There are only limited cases reported and published with even smaller amount related to the breast implants (31 studies and 8 related to breast implants found in PubMed search in December 2019). Case presentation: Authors present the case of siliconosis secondary to bilateral cosmetic breast augmentation performed back in 1989. The patient was troubled with a myriad of complications and underwent an exchange of implants with Trilucent™ implants in 1997 and their subsequent removal in 1998. Later, they underwent bilateral mastopexy and is currently free of implants. Ever-since the first operation patient complained of pain, localized tenderness, swelling, axillary fullness, paraesthesia and partial paralysis in her upper limbs amongst other symptoms. Objective investigations including plain radiographs, USS, CT, MRI, nerve conduction studies, rheumatological screen yielded essentially negative results. Thoroughly investigation for breast cancer was conducted, including several operations and biopsies of axillary swellings with confirming reactive lymphadenopathy. A working diagnosis of siliconosis has been made and the patient was treated expectantly. Conclusion: This case should remind our colleagues of the ethical and professional responsibilities we have toward our patients in explaining all the potential risks involved in breast augmentation and also to keep an open mind when meeting patients complaining of systemic symptoms post breast augmentation.

Keywords: Syliconosis, autoimmune/inflammatory syndrome induced by adjuvants (ASIA), silicone implant incompatibility syndrome (SIIS), breast augmentation, breast implants, green


Pubmed Style

Jaroszlav Roszpopa, Zeeshan Ahmad. Siliconosis: an unknown entity in aesthetic breast surgery. EJMCR. 1970; 01 (January 1970): 419-423. doi:10.24911/ejmcr/173-1581852111

Web Style

Jaroszlav Roszpopa, Zeeshan Ahmad. Siliconosis: an unknown entity in aesthetic breast surgery. https://ejmcr.com/articles/1362 [Access: December 25, 2024]. doi:10.24911/ejmcr/173-1581852111

AMA (American Medical Association) Style

Jaroszlav Roszpopa, Zeeshan Ahmad. Siliconosis: an unknown entity in aesthetic breast surgery. EJMCR. 1970; 01 (January 1970): 419-423. doi:10.24911/ejmcr/173-1581852111

Vancouver/ICMJE Style

Jaroszlav Roszpopa, Zeeshan Ahmad. Siliconosis: an unknown entity in aesthetic breast surgery. EJMCR. (1970), [cited December 25, 2024]; 01 (January 1970): 419-423. doi:10.24911/ejmcr/173-1581852111

Harvard Style

Jaroszlav Roszpopa, Zeeshan Ahmad (1970) Siliconosis: an unknown entity in aesthetic breast surgery. EJMCR, 01 (January 1970): 419-423. doi:10.24911/ejmcr/173-1581852111

Chicago Style

Jaroszlav Roszpopa, Zeeshan Ahmad. "Siliconosis: an unknown entity in aesthetic breast surgery." 01 (1970), 419-423. doi:10.24911/ejmcr/173-1581852111

MLA (The Modern Language Association) Style

Jaroszlav Roszpopa, Zeeshan Ahmad. "Siliconosis: an unknown entity in aesthetic breast surgery." 01.January 1970 (1970), 419-423. Print. doi:10.24911/ejmcr/173-1581852111

APA (American Psychological Association) Style

Jaroszlav Roszpopa, Zeeshan Ahmad (1970) Siliconosis: an unknown entity in aesthetic breast surgery. , 01 (January 1970), 419-423. doi:10.24911/ejmcr/173-1581852111