Silicone-Induced Granuloma of Breast Implant Capsule (SIGBIC): Histopathology and Radiological Correlation

Currently, attention has been given to complications related to breast implants, especially due to the presence of anaplastic large cell lymphoma (ALCL) related to silicone implants. Many manuscripts attempt to associate silicone presence with clinical complaints reported by patients, while others t...

Full description

Saved in:
Bibliographic Details
Main Authors: Eduardo de Faria Castro Fleury, Gabriel Salum D’Alessandro, Sheila Cristina Lordelo Wludarski
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Journal of Immunology Research
Online Access:http://dx.doi.org/10.1155/2018/6784971
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832554421339291648
author Eduardo de Faria Castro Fleury
Gabriel Salum D’Alessandro
Sheila Cristina Lordelo Wludarski
author_facet Eduardo de Faria Castro Fleury
Gabriel Salum D’Alessandro
Sheila Cristina Lordelo Wludarski
author_sort Eduardo de Faria Castro Fleury
collection DOAJ
description Currently, attention has been given to complications related to breast implants, especially due to the presence of anaplastic large cell lymphoma (ALCL) related to silicone implants. Many manuscripts attempt to associate silicone presence with clinical complaints reported by patients, while others try to demonstrate the mechanisms of silicone bleeding by permeability loss of breast implant surfaces. There also are reports of foreign body type reactions from implant fibrous capsule to silicone corpuscles. However, there seems to be no study that correlates the clinical, radiological, and histological correlations of these lesions. The objective of this review is to correlate radiological findings of silicone-induced granuloma of breast implant capsule (SIGBIC) from breast MRI (BMRI) scans and complementary findings of ultrasound (US) and positron emission tomography (PET) scan, and its histology originated from surgical breast implant capsulectomy. To make this correlation possible, we divided SIGBIC into three radiological findings: (1) intracapsular SIGBIC, (2) SIGBIC with extracapsular extension, and (3) mixed SIGBIC associated with seroma. Our experience demonstrates histological-radiological correlation in SIGBIC diagnosis. Knowledge of these findings may demonstrate its real importance in terms of public health and patient management. We believe that SIGBIC is currently underdiagnosed by lack of training, guidance, and management in our clinical practice.
format Article
id doaj-art-5d1110bd96e641b7b6f5e987d35df402
institution Kabale University
issn 2314-8861
2314-7156
language English
publishDate 2018-01-01
publisher Wiley
record_format Article
series Journal of Immunology Research
spelling doaj-art-5d1110bd96e641b7b6f5e987d35df4022025-02-03T05:51:34ZengWileyJournal of Immunology Research2314-88612314-71562018-01-01201810.1155/2018/67849716784971Silicone-Induced Granuloma of Breast Implant Capsule (SIGBIC): Histopathology and Radiological CorrelationEduardo de Faria Castro Fleury0Gabriel Salum D’Alessandro1Sheila Cristina Lordelo Wludarski2Holy House School of Medicine, São Paulo, BrazilBrazilian Cancer Control Institute, BrazilBrazilian Cancer Control Institute, BrazilCurrently, attention has been given to complications related to breast implants, especially due to the presence of anaplastic large cell lymphoma (ALCL) related to silicone implants. Many manuscripts attempt to associate silicone presence with clinical complaints reported by patients, while others try to demonstrate the mechanisms of silicone bleeding by permeability loss of breast implant surfaces. There also are reports of foreign body type reactions from implant fibrous capsule to silicone corpuscles. However, there seems to be no study that correlates the clinical, radiological, and histological correlations of these lesions. The objective of this review is to correlate radiological findings of silicone-induced granuloma of breast implant capsule (SIGBIC) from breast MRI (BMRI) scans and complementary findings of ultrasound (US) and positron emission tomography (PET) scan, and its histology originated from surgical breast implant capsulectomy. To make this correlation possible, we divided SIGBIC into three radiological findings: (1) intracapsular SIGBIC, (2) SIGBIC with extracapsular extension, and (3) mixed SIGBIC associated with seroma. Our experience demonstrates histological-radiological correlation in SIGBIC diagnosis. Knowledge of these findings may demonstrate its real importance in terms of public health and patient management. We believe that SIGBIC is currently underdiagnosed by lack of training, guidance, and management in our clinical practice.http://dx.doi.org/10.1155/2018/6784971
spellingShingle Eduardo de Faria Castro Fleury
Gabriel Salum D’Alessandro
Sheila Cristina Lordelo Wludarski
Silicone-Induced Granuloma of Breast Implant Capsule (SIGBIC): Histopathology and Radiological Correlation
Journal of Immunology Research
title Silicone-Induced Granuloma of Breast Implant Capsule (SIGBIC): Histopathology and Radiological Correlation
title_full Silicone-Induced Granuloma of Breast Implant Capsule (SIGBIC): Histopathology and Radiological Correlation
title_fullStr Silicone-Induced Granuloma of Breast Implant Capsule (SIGBIC): Histopathology and Radiological Correlation
title_full_unstemmed Silicone-Induced Granuloma of Breast Implant Capsule (SIGBIC): Histopathology and Radiological Correlation
title_short Silicone-Induced Granuloma of Breast Implant Capsule (SIGBIC): Histopathology and Radiological Correlation
title_sort silicone induced granuloma of breast implant capsule sigbic histopathology and radiological correlation
url http://dx.doi.org/10.1155/2018/6784971
work_keys_str_mv AT eduardodefariacastrofleury siliconeinducedgranulomaofbreastimplantcapsulesigbichistopathologyandradiologicalcorrelation
AT gabrielsalumdalessandro siliconeinducedgranulomaofbreastimplantcapsulesigbichistopathologyandradiologicalcorrelation
AT sheilacristinalordelowludarski siliconeinducedgranulomaofbreastimplantcapsulesigbichistopathologyandradiologicalcorrelation