Breast prostheses

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Breast prostheses are relatively common pathology specimens.

Breast expander, breast capsule and capsular contraction redirect here.

General

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

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

  1. 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.
  2. 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.
  3. 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.
  4. 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.
  5. Hidalgo, DA.; Doft, MA. (Oct 2015). "Postreduction Breast Augmentation.". Plast Reconstr Surg Glob Open 3 (10): e527. doi:10.1097/GOX.0000000000000479. PMID 26579333.
  6. 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.
  7. URL: http://radiopaedia.org/articles/linguine-sign. Accessed on: 7 July 2016.