Difference between revisions of "Breast prostheses"
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B. Left Breast Capsule, Excision: | B. Left Breast Capsule, Excision: | ||
- Benign fibrous tissue with calcifications, consistent with capsule, and adipose tissue. | - 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 breast parenchyma. | ||
- NEGATIVE for malignancy. | - NEGATIVE for malignancy. | ||
Revision as of 16:06, 7 July 2016
Breast prostheses are relatively common pathology specimens.
Breast expander and breast capsule 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.