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'' and ''breast capsule'' redirect here.
''Breast expander'', ''breast capsule'' and ''capsular contraction'' redirect here.
==General==
==General==
*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>
*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>
*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===
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<pre>
<pre>
A. Right Breast Capsule, Excision:
A. Right Breast Capsule, Excision:
- Benign fibrous capsule with calcifications and adipose tissue.
- Benign fibrous tissue with calcifications, consistent with capsule, and adipose tissue.
- NEGATIVE for breast parenchyma.
- NEGATIVE for breast parenchyma.
- NEGATIVE for malignancy.
- NEGATIVE for malignancy.


B. Left Breast Capsule, Excision:
B. Left Breast Capsule, Excision:
- Benign fibrous capsule with calcifications 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.
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==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

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

  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.
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