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Bilateral poly implant prothèse implant rupture: an uncommon presentation
Peter Mallon1, François Ganachaud1, Caroline Malhaire1
1Department of Surgery, Institute Curie, Paris, France; INSA UMR CNRS 5223, Polymer Chemistry, Lyon, France; Department of Radiology, Institute Curie, Paris, France; and Department of Tumour Biology, Institute Curie, Paris, France.
Summary:
A woman in her 50s underwent delayed bilateral Poly Implant Prothèse implant reconstruction following mastectomy for breast cancer. Symptoms of implant rupture developed 43 months after surgery with an erythematous rash on her trunk. The rash then spread to her reconstructed breast mounds. Initial ultrasound scan and magnetic resonance imaging were normal; however, subsequent magnetic resonance imaging demonstrated left implant rupture only. In theater, following removal of both implants, both were found to be ruptured. The rash on her trunk resolved within 3 weeks in the postoperative period. Chemical analyses of silicone in both implants confirmed a nonauthorized silicone source; in addition, the chemical structure was significantly different between the left and right implant, perhaps explaining the variation in presentation.
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