gms | German Medical Science

44. Jahrestagung der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen e. V. (DGPRÄC), 18. Jahrestagung der Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen e. V. (VDÄPC)

12.09. - 14.09.2013, Münster

Complications of PIP breast implants – the current discussion

Meeting Abstract

  • presenting/speaker Leila Kolios - BG Unfallklinik Ludwigshafen, Hand-, Plastische und Wiederherstellungschirurgie, Schwerbrandverletztenzentrum, Klinik fuer Plastische Chirurgie der Universitaet Heidelberg, Ludwigshafen, Deutschland
  • Christoph Hirche - BG Unfallklinik Ludwigshafen, Hand-, Plastische und Wiederherstellungschirurgie, Schwerbrandverletztenzentrum, Klinik fuer Plastische Chirurgie der Universitaet Heidelberg, Ludwigshafen, Deutschland
  • Alexander Spiethoff - Klinikum Ludwigshafen, Pathologisches Institut, Ludwigshafen, Deutschland
  • Adrien Daigeler - Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil, Klinik für Plastische Chirurgie und Schwerbrandverletzte, Hand- chirurgiezentrum, Operatives Referenzzentrum für Gliedmaßentumore, Bochum, Deutschland
  • Marcus Lehnhardt - Berufsgenossenschaftliches Universitätsklinikum Bergmannsheil, Klinik für Plastische Chirurgie und Schwerbrandverletzte, Hand- chirurgiezentrum, Operatives Referenzzentrum für Gliedmaßentumore, Bochum, Deutschland

Deutsche Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen. Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen. 44. Jahrestagung der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen (DGPRÄC), 17. Jahrestagung der Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen (VDÄPC). Münster, 12.-14.09.2013. Düsseldorf: German Medical Science GMS Publishing House; 2013. DocP 58

doi: 10.3205/13dgpraec159, urn:nbn:de:0183-13dgpraec1597

Published: September 10, 2013

© 2013 Kolios et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.


Outline

Text

Purpose: Against the background of the current discussion about PIP (Poly Implant Prosthese, Seyne-sur-mer, France) breast implants we want to present a case demonstrating the complications such as implant rupture, silicone dissemination and level III silicone-lymphadenopathy.

Patient and Results: A 29-year-old woman with cosmetic breast augmentation with PIP-implants 5 years previously showed a sensitive swelling in her right axilla and neck region. All tests to detect an infectious or lymphomatous lymphadenopathy were negative. With ultrasound and magnetic resonance imaging (MRI) rupture of the right implant was assumed and multiple pathologically enlarged lymph nodes up to supraclavicular region were shown. An excision biopsy of one axillary lymph node was performed; the histological examination detected a strong silicone-lymphadenopathy. Surgical removal of both implants as well as capsulectomy was performed and 14 axillary lymph nodes up to level II were resected. Histologic evaluation confirmed the previous results (Figure 1 [Fig. 1], Figure 2 [Fig. 2]).

Discussion: Our case underlines the actual discussion concerning increased rupture rate and massive silicone lymphadenopathy by PIP implants. The Afssaps (Agence francaise de sécurité sanitaire des produits de santé) recommends clinical and ultrasound examination every 6 months for women with PIP implants. Any rupture, suspected rupture or leakage of prosthesis should lead to its explantation as well as that of the contralateral implant. In case of unusual signs of inflammation, histological and immunohistochemical samples are to be taken.