Difference between revisions of "Breast prostheses"
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'''Breast prostheses''' are relatively common [[pathology]] specimens. | '''Breast prostheses''' are relatively common [[pathology]] specimens. | ||
''Breast expander'' | ''Breast expander'', ''breast capsule'' and ''capsular contraction'' redirect here. | ||
==General== | ==General== | ||
*Commonly used for cosmesis in the context of [[breast cancer]]. | *Commonly used for cosmesis in the context of [[breast cancer]].<ref>{{Cite journal | last1 = Gerber | first1 = B. | last2 = Marx | first2 = M. | last3 = Untch | first3 = M. | last4 = Faridi | first4 = A. | title = Breast Reconstruction Following Cancer Treatment. | journal = Dtsch Arztebl Int | volume = 112 | issue = 35-36 | pages = 593-600 | month = Aug | year = 2015 | doi = 10.3238/arztebl.2015.0593 | PMID = 26377531 }}</ref> | ||
*Associated with a small risk increase of lymphoma<ref name=pmid26116741>{{Cite journal | last1 = Rupani | first1 = A. | last2 = Frame | first2 = JD. | last3 = Kamel | first3 = D. | title = Lymphomas Associated with Breast Implants: A Review of the Literature. | journal = Aesthet Surg J | volume = 35 | issue = 5 | pages = 533-44 | month = Jul | year = 2015 | doi = 10.1093/asj/sjv016 | PMID = 26116741 }}</ref> - specifically [[anaplastic large cell lymphoma]].<ref name=pmid26408447>{{Cite journal | last1 = Clemens | first1 = MW. | last2 = Miranda | first2 = RN. | title = Coming of Age: Breast Implant-Associated Anaplastic Large Cell Lymphoma After 18 Years of Investigation. | journal = Clin Plast Surg | volume = 42 | issue = 4 | pages = 605-13 | month = Oct | year = 2015 | doi = 10.1016/j.cps.2015.06.006 | PMID = 26408447 }}</ref> | |||
*May be excised due to excessive fibrosis (in response to a breast prosthesis) known as ''capsular contraction''.<ref name=pmid26430623>{{Cite journal | last1 = Headon | first1 = H. | last2 = Kasem | first2 = A. | last3 = Mokbel | first3 = K. | title = Capsular Contracture after Breast Augmentation: An Update for Clinical Practice. | journal = Arch Plast Surg | volume = 42 | issue = 5 | pages = 532-43 | month = Sep | year = 2015 | doi = 10.5999/aps.2015.42.5.532 | PMID = 26430623 }}</ref><ref name=pmid26579333>{{Cite journal | last1 = Hidalgo | first1 = DA. | last2 = Doft | first2 = MA. | title = Postreduction Breast Augmentation. | journal = Plast Reconstr Surg Glob Open | volume = 3 | issue = 10 | pages = e527 | month = Oct | year = 2015 | doi = 10.1097/GOX.0000000000000479 | PMID = 26579333 }}</ref> | |||
==Gross== | ==Gross== | ||
''Specimen received in formalin labelled "right breast prosthesis" consists of a breast prosthesis measuring 13.5 x 12.5 x 4.5 cm. Seen on one side the number 356 is seen. The prosthesis is intact. No tissue is identified. No sections are submitted.'' | ''Specimen received in formalin labelled "right breast prosthesis" consists of a breast prosthesis measuring 13.5 x 12.5 x 4.5 cm. Seen on one side the number 356 is seen. The prosthesis is intact. No tissue is identified. No sections are submitted.'' | ||
===Radiology=== | |||
*Linguine sign - thin, wavy hypodense strands/septations within a rupture contained within the fibrous capsule.<ref name=pmid25577259>{{Cite journal | last1 = Duryea | first1 = D. | last2 = Petscavage-Thomas | first2 = J. | last3 = Frauenhoffer | first3 = EE. | last4 = Walker | first4 = EA. | title = Linguine sign in musculoskeletal imaging: calf silicone implant rupture. | journal = Skeletal Radiol | volume = 44 | issue = 8 | pages = 1157-60 | month = Aug | year = 2015 | doi = 10.1007/s00256-014-2091-3 | PMID = 25577259 }}</ref><reF>URL: [http://radiopaedia.org/articles/linguine-sign http://radiopaedia.org/articles/linguine-sign]. Accessed on: 7 July 2016.</ref> | |||
===Images=== | ===Images=== | ||
| Line 15: | Line 20: | ||
==Sign out== | ==Sign out== | ||
<pre> | |||
A. Right Breast Capsule, Excision: | |||
- Benign fibrous tissue with calcifications, consistent with capsule, and adipose tissue. | |||
- NEGATIVE for breast parenchyma. | |||
- NEGATIVE for malignancy. | |||
B. Left Breast Capsule, Excision: | |||
- Benign fibrous tissue with calcifications, consistent with capsule, and adipose tissue. | |||
- NEGATIVE for breast parenchyma. | |||
- NEGATIVE for malignancy. | |||
</pre> | |||
===Clinical history of rupture=== | |||
<pre> | |||
Breast, Right Capsule, Excision: | |||
- Marked histiocytic response and foreign material, adipose tissue | |||
and benign fibrous tissue (consistent with capsule). | |||
- NEGATIVE for breast parenchyma. | |||
- NEGATIVE for malignancy. | |||
</pre> | |||
===Block letters=== | |||
<pre> | <pre> | ||
BREAST PROSTHESIS, RIGHT, REMOVAL: | BREAST PROSTHESIS, RIGHT, REMOVAL: | ||
| Line 20: | Line 47: | ||
</pre> | </pre> | ||
===Not intact=== | ====Not intact==== | ||
<pre> | <pre> | ||
BREAST PROSTHESIS, LEFT, REMOVAL: | BREAST PROSTHESIS, LEFT, REMOVAL: | ||
| Line 28: | Line 55: | ||
==See also== | ==See also== | ||
*[[Ditzels]]. | *[[Ditzels]]. | ||
*[[Silicone granuloma]]. | |||
==References== | ==References== | ||
Latest revision as of 15:25, 19 September 2018
Breast prostheses are relatively common pathology specimens.
Breast expander, breast capsule and capsular contraction redirect here.
General
- Commonly used for cosmesis in the context of breast cancer.[1]
- Associated with a small risk increase of lymphoma[2] - specifically anaplastic large cell lymphoma.[3]
- May be excised due to excessive fibrosis (in response to a breast prosthesis) known as capsular contraction.[4][5]
Gross
Specimen received in formalin labelled "right breast prosthesis" consists of a breast prosthesis measuring 13.5 x 12.5 x 4.5 cm. Seen on one side the number 356 is seen. The prosthesis is intact. No tissue is identified. No sections are submitted.
Radiology
- Linguine sign - thin, wavy hypodense strands/septations within a rupture contained within the fibrous capsule.[6][7]
Images
Breast implants. (WC)
Ruptured breast implant. (WC)
Sign out
A. Right Breast Capsule, Excision: - Benign fibrous tissue with calcifications, consistent with capsule, and adipose tissue. - NEGATIVE for breast parenchyma. - NEGATIVE for malignancy. B. Left Breast Capsule, Excision: - Benign fibrous tissue with calcifications, consistent with capsule, and adipose tissue. - NEGATIVE for breast parenchyma. - NEGATIVE for malignancy.
Clinical history of rupture
Breast, Right Capsule, Excision: - Marked histiocytic response and foreign material, adipose tissue and benign fibrous tissue (consistent with capsule). - NEGATIVE for breast parenchyma. - NEGATIVE for malignancy.
Block letters
BREAST PROSTHESIS, RIGHT, REMOVAL: - INTACT BREAST PROSTHESIS (GROSS ONLY).
Not intact
BREAST PROSTHESIS, LEFT, REMOVAL: - BREAST PROSTHESIS WITH EVIDENCE OF PERFORATION AND LEAKAGE (GROSS ONLY).
See also
References
- ↑ Gerber, B.; Marx, M.; Untch, M.; Faridi, A. (Aug 2015). "Breast Reconstruction Following Cancer Treatment.". Dtsch Arztebl Int 112 (35-36): 593-600. doi:10.3238/arztebl.2015.0593. PMID 26377531.
- ↑ Rupani, A.; Frame, JD.; Kamel, D. (Jul 2015). "Lymphomas Associated with Breast Implants: A Review of the Literature.". Aesthet Surg J 35 (5): 533-44. doi:10.1093/asj/sjv016. PMID 26116741.
- ↑ Clemens, MW.; Miranda, RN. (Oct 2015). "Coming of Age: Breast Implant-Associated Anaplastic Large Cell Lymphoma After 18 Years of Investigation.". Clin Plast Surg 42 (4): 605-13. doi:10.1016/j.cps.2015.06.006. PMID 26408447.
- ↑ Headon, H.; Kasem, A.; Mokbel, K. (Sep 2015). "Capsular Contracture after Breast Augmentation: An Update for Clinical Practice.". Arch Plast Surg 42 (5): 532-43. doi:10.5999/aps.2015.42.5.532. PMID 26430623.
- ↑ Hidalgo, DA.; Doft, MA. (Oct 2015). "Postreduction Breast Augmentation.". Plast Reconstr Surg Glob Open 3 (10): e527. doi:10.1097/GOX.0000000000000479. PMID 26579333.
- ↑ Duryea, D.; Petscavage-Thomas, J.; Frauenhoffer, EE.; Walker, EA. (Aug 2015). "Linguine sign in musculoskeletal imaging: calf silicone implant rupture.". Skeletal Radiol 44 (8): 1157-60. doi:10.1007/s00256-014-2091-3. PMID 25577259.
- ↑ URL: http://radiopaedia.org/articles/linguine-sign. Accessed on: 7 July 2016.